Damon John Pettinelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08365900 Issued in NJ

Practice address

1 N Washington Ave
Bergenfield, NJ 07621-2160

Phone

(201) 374-8900

NPI assigned

Aug 22, 2006

Last updated

Oct 2, 2026By 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 1

Addresses

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

Temple University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Eye Surgery Associates PLLCGroup PAC ID 6800785148, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.97 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.89

Procedures performed for Medicare patients

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

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.

• New York Eye Surgery Associates PLLC

  • Specialist
  • Bronx, NY
  • NPI 1699873067
  Medicare reassignment Care Compare group NPD
• Ambulatory Surgery Center of Greater New York, LLC

  • Ambulatory Surgical Clinic/Center
  • Bronx, NY
  • NPI 1376641670
  NPD (past)
• Manhattan Eye Ear and Throat Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1922169689
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1558477448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SYCAMORE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837328",
            "telephone_number": "914-725-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212160",
            "telephone_number": "201-374-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINELLI",
        "first_name": "DAMON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08365900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rena Penecilla, RN
• Beryl Elizabeth Pereira, MD.
• Lady J Perez, LCSW
• Melissa Peterson, APN
• Rachell Peterson
• Pill Point Pharmacy Inc
• Pinnacle Homecare Rehabilitation LLC
• Tiffany Lee Pizarro, LPN
• Platinum Physiatry
• PMR Medical PC (NY Mobile Anesthesia)

• Ophthalmology Physician in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.