Individual provider Active NPI

Catherine Corina Violet Gerontis, M.D.

  • Ophthalmology Physician
  • Commack, NY
National Provider Identifier
1477553253
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
188154 Issued in NY
Practice address
58 Vanderbilt Motor Pkwy Ste 300
Commack, NY 11725-5724
Phone
(631) 439-5440
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 188154 NY Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 188154 NY

Addresses

Primary practice location

58 Vanderbilt Motor Pkwy Ste 300
Commack, NY 11725-5724

Mailing address

PO Box 595
Commack, NY 11725-0595
Phone (631) 439-0946

Other practice location 1

353 Veterans Memorial Hwy
Commack, NY 11725-4200
Phone (631) 439-0946

Other identifiers 18

IdentifierTypeStateIssuer
48Z811OtherBLUE CROSS/CHILD
113547507OtherEMPIRE
113547507OtherGREAT WEST
188154A27OtherHEALTHFIRST
2C8244OtherHEALTH NET
112658697OtherJJ NEW/USI
113547507OtherCIGNA PPO
113547507OtherISLAND GROUP
2436110OtherAETNA
31160POtherHIP HEALTH CARE PARTNERS
113547507OtherBEECH TREE
8209571002OtherCIGNA HMO
188154A27OtherHEALTHFIRST CHP
0401751OtherGHI
112658697OtherFIRST HEALTH
27626OtherANTHEM
GC8154OtherATLANTIS
31160POtherHIP

Other names 1

  • C Corina Gerontis Professional name

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
I20040331001225 NY Practitioner - Ophthalmology 8325030299 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188154NYMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Dec 4, 2023 Accepting new patients
North Shore-Lij Medical PC Ophthalmology CurrentSince Dec 4, 2023 Accepting new patients
CHS Physician Partners, P.C CurrentSince Dec 1, 2023 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
New York City Health and Hospitals Corporation PastSince Apr 26, 2020 Accepting new patients

Locations

353 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 543-4888

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

600 Northern Blvd
Ste 214
Great Neck, NY 11021
Phone (516) 465-8460

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Interoperability endpoints

  • Direct secure messaging: cgerontis@northwellhealth.intellechartdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1477553253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117250595",
            "telephone_number": "631-439-0946",
            "fax_number": "631-439-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 VANDERBILT MOTOR PKWY STE 300",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255724",
            "telephone_number": "631-439-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254200",
            "country_code": "US",
            "telephone_number": "631-439-0946",
            "fax_number": "631-439-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERONTIS",
        "first_name": "CATHERINE",
        "middle_name": "CORINA VIOLET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "188154",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "188154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/CHILD",
            "identifier": "48Z811",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "113547507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "113547507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "188154A27",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2C8244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JJ NEW/USI",
            "identifier": "112658697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "113547507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISLAND GROUP",
            "identifier": "113547507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2436110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH CARE PARTNERS",
            "identifier": "31160P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH TREE",
            "identifier": "113547507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "8209571002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST CHP",
            "identifier": "188154A27",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0401751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "112658697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "27626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "GC8154",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "31160P",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "GERONTIS",
            "middle_name": "CORINA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.