Jeffrey Charles Paccione, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

188943 Issued in NY

Practice address

8806 55TH Ave
Elmhurst, NY 11373-4437

Phone

(718) 271-9730

Fax

(718) 760-6525

NPI assigned

Sep 2, 2005

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Columbia University College of Physicians and Surgeons, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_retinaassociates
• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
• Direct secure messaging: jpaccione@vrcnortheast.intellechartdirect.net
• Direct secure messaging: jpaccione67180@northwell.direct-ci.com

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.

• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1437262755
  Medicare reassignment Care Compare group NPD
• Advantagecare Physicians PC

  dba AdvantageCare Physicians

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Raymond Fong M.D., P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1083619274
  Medicare reassignment NPD
• Retina Associates of New York,P.C.

  • Specialist
  • Forest Hills, NY
  • NPI 1013190685
  Medicare reassignment NPD
• Advantagecare Physicians PC

  dba AdvantageCare Physicians Urgent Care

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD
• Bingjing Roberts,MD,PLLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1992946180
  NPD
• Raymond Fong MD, PC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1619196516
  NPD
• Retina Associates of New York,P.C.

  • Specialist
  • New York, NY
  • NPI 1629145370
  NPD
• Long Island Vitreo Retinal Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1740474402
  NPD (past)
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1235242553
  NPD (past)
• Manhattan Eye Ear and Throat Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1922169689
  NPD (past)
• Paul C. Rutkowski, MD PC

  • Ophthalmology Physician
  • Harrison, NY
  • NPI 1689607988
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1467446575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EAST 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750306",
            "telephone_number": "212-772-0600",
            "fax_number": "212-517-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734437",
            "telephone_number": "718-271-9730",
            "fax_number": "718-760-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E 80th St",
            "address_2": "RETINA ASSOCIATES OF NEW YORK, P.C.",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100210306",
            "country_code": "US",
            "telephone_number": "212-772-0600",
            "fax_number": "212-517-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACCIONE",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "188973",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "188943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01589959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omenogo Chinwe Laura Osanakpo
• Fendia Osirus
• Kelly Ostermann
• Nicholas Ernesto Outeda, LMHC
• Jorge L. Oyola, CASAC-2
• Alexa Courtney Pace, LMSW
• Vicente Rabe Pacheco III, PT
• Andresito B Pacis, MD
• Karen Estaca Pacleb, RPT
• Isamar Estefany Padilla Juarez, LMSW

• Retina Specialist (Ophthalmology) Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Retina Specialist (Ophthalmology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.