Joseph Bacotti MD PC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

139827 Issued in NY

Legal business name

JOSEPH BACOTTI MD PC

Practice address

330 Old Country Rd
Mineola, NY 11501

Phone

(516) 739-6600

Fax

(516) 739-6620

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph L Bacotti, MDNPI 1962403519

Title

President

Phone

(516) 739-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph L Bacotti, MD

  • Ophthalmology Physician
  • Mineola, NY
  • NPI 1962403519
  NPD (past) Authorized official
• Joseph Hallak, OD

  • Optometrist
  • Hicksville, NY
  • NPI 1063477602
  NPD (past)
• Teresa Halliwell, OD

  • Low Vision Rehabilitation Optometrist
  • North Bellmore, NY
  • NPI 1407941636
  NPD (past)
• Christopher G. Lutz, O.D.

  • Optometrist
  • Freeport, NY
  • NPI 1639289804
  NPD (past)
• Samuel T Wong, M.D.

  • Ophthalmology Physician
  • Jamestown, NY
  • NPI 1881888642
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1548487523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-739-6600",
            "fax_number": "516-739-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-739-6600",
            "fax_number": "516-739-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BACOTTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "BACOTTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-739-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "139827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00436246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suman P Johnson, PHYSICIAN ASSITANT
• Mary Jo Johnstone, M.D.
• Melissa Rose Jonas, PA
• Derek Jones, M.D.
• Rejath Jose, DO
• Joseph M. Bargellini, M.D.
• Sajumon K Joseph, FNP
• Josephine Kleyner DPM, P.C.
• Lena Josephs
• Parth Mayur Joshi, MD

• Ophthalmic Technician/Technologist in Mineola, NY
• Providers in Mineola, NY by specialty
• Ophthalmic Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.