Long Island Vitreo Retinal Consultants

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LONG ISLAND VITREO RETINAL CONSULTANTS

Practice address

47 Commerce Dr
Suite 2
Riverhead, NY 11901-3106

Phone

(631) 905-0666

Fax

(516) 905-0660

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Annmarie Gamba

Title

Billing Manager

Phone

(516) 466-0390

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

Long Island Vitreo Retinal Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Long Island Vitreo Retinal Consultants

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

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1235242553
  NPD tax ID
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1437262755
  NPD tax ID

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1497940019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COMMERCE DR",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013106",
            "telephone_number": "631-905-0666",
            "fax_number": "516-905-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 COMMERCE DR",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013106",
            "telephone_number": "631-905-0666",
            "fax_number": "516-905-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND VITREO RETINAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "GAMBA",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-466-0390"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR B GOLUB",
            "identifier": "43F372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR E SHAKIN",
            "identifier": "44I491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR V DERAMO",
            "identifier": "316B51",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR P FERRONE",
            "identifier": "5T9101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR FASTENBERG",
            "identifier": "71A461",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR J SHAKIN",
            "identifier": "45A371",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR K GRAHAM",
            "identifier": "423B91",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR B ROSENBLATT",
            "identifier": "467A61",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leeann Lomanto
• Carolyn Anne London, OPTICIAN
• Long Island Bariatric PLLC
• Long Island Select Healthcare, Inc.
• Long Island Select Healthcare, Inc.
• Salvatore Lotardo, DDS
• Camilo Lourido, LMT
• Carmela Lovecchio, DO, MS
• Katina Lown, AU.D
• Ellen Lutz

• All providers in Riverhead, NY
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.