Individual provider Active NPI

Vincent P Basilice, M.D.,P.C.

  • Ophthalmology Physician
  • East Setauket, NY
National Provider Identifier
1396868527
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
127126-1 Issued in NY
Practice address
3400 Nesconset Hwy
Suite 107
East Setauket, NY 11733-3327
Phone
(631) 751-2020
Fax
(631) 751-0048
NPI assigned
Apr 10, 2007
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 127126-1 NY Primary

Addresses

Primary practice location

3400 Nesconset Hwy
Suite 107
East Setauket, NY 11733-3327

Mailing address

3400 Nesconset Hwy
Suite 107
East Setauket, NY 11733-3327
Phone (631) 751-2020

Other identifiers 2

IdentifierTypeStateIssuer
00417469MedicaidNY
1679588164OtherNYGROUP NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000833 NY Practitioner - Ophthalmology 0941195705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

3400 Nesconset Hwy
Suite 107
East Setauket, NY 11733-3327
Phone (855) 295-4144

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
127126-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Mar 27, 2023 Accepting new patients
Vincent P Basilice M D P C Ophthalmology CurrentSince Oct 9, 1997 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Mar 27, 2023 Accepting new patients

Locations

8 Technology Dr
Ste 107
East Setauket, NY 11733

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

3400 Nesconset Hwy
Ste 107
Setauket, NY 11733
Phone (516) 751-2020

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

6144 Route 25A
Ste 6
Wading River, NY 11792
Phone (631) 929-3842

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1396868527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 107",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-2020",
            "fax_number": "631-751-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 107",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-2020",
            "fax_number": "631-751-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILICE",
        "first_name": "VINCENT",
        "middle_name": "P",
        "credential": "M.D.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "127126-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00417469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1679588164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.