Individual provider Active NPI

Gina A. Dell'Arciprete, O.D.

  • Optometrist
  • Chestnut Ridge, NY
National Provider Identifier
1598840662
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005216 Issued in NY
Practice address
811 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6330
Phone
(845) 352-2020
Fax
(845) 352-2097
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT005216 NY Primary

Addresses

Primary practice location

811 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6330

Mailing address

26 Eastbourne Dr
Chestnut Ridge, NY 10977-6403
Phone (845) 352-3538

Other identifiers 20

IdentifierTypeStateIssuer
0547568OtherNYAETNA TIN 133769257 HMO PROVIDER #
C61201OtherNYMEDICARE TYPE ID UNSPECIFIED THRU 2008
OP1975OtherNYEYEMED PROVIDER #
1467693861OtherNYMEDICARE ADVANCED EYECARE OPTOMETRY, PLLC GROUP NPI
C61201OtherNYBLUE CROSS BLUE SHIELD TIN 133769257 PROVIDER #
C8T061OtherNYMEDICARE ID TYPE UNSPECIFIED 2009-ON
1598840662OtherNYMEDICARE GINA A DELLARCIPRETE INDIVIDUAL NPI
2535942OtherNYCIGNA TIN 364646171 PROVIDER NUMBER
P3084111OtherNYOXFORD PROVIDER #
133769257OtherNYCIGNA PROVIDER # THRU 2008
364646171OtherNYVSP PROVIDER # 2009-ON
9430OtherNYLOCAL 21 PLUMBERS AND STEAMFITTERS PROVIDER #
133769257OtherNYVSP PROVIDER # THRU 2008
5060223OtherNYAETNA TIN 133769257 NON HMO PROVIDER #
0563346OtherNYGHI PROVIDER NUMBER
133769257OtherNYFEDERAL TAX ID#
134157OtherNYBLOCK VISION TIN 364646171 PROVIDER NUMBER
C8T061OtherNYBLUE CROSS BLUE SHIELD TIN 364646171 PROVIDER #
6836786OtherNYAETNA TIN 364646171 PROVIDER NUMBER
906528OtherNYBLOCK VISION TIN 133769257 PROVIDER #

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000025 NY Practitioner - Optometry 5991855629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6330
Phone (845) 352-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005216NYMDMental Health Counselor
VUT005216NYMDOptometrist

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1598840662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 EASTBOURNE DR",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776403",
            "telephone_number": "845-352-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHESTNUT RIDGE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776330",
            "telephone_number": "845-352-2020",
            "fax_number": "845-352-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL'ARCIPRETE",
        "first_name": "GINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TIN 133769257 HMO PROVIDER #",
            "identifier": "0547568",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE ID UNSPECIFIED THRU 2008",
            "identifier": "C61201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER #",
            "identifier": "OP1975",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANCED EYECARE OPTOMETRY, PLLC GROUP NPI",
            "identifier": "1467693861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TIN 133769257 PROVIDER #",
            "identifier": "C61201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED  2009-ON",
            "identifier": "C8T061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GINA A DELLARCIPRETE INDIVIDUAL NPI",
            "identifier": "1598840662",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA TIN 364646171 PROVIDER NUMBER",
            "identifier": "2535942",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER #",
            "identifier": "P3084111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA  PROVIDER #  THRU 2008",
            "identifier": "133769257",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP PROVIDER #  2009-ON",
            "identifier": "364646171",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 21 PLUMBERS AND STEAMFITTERS PROVIDER #",
            "identifier": "9430",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP  PROVIDER # THRU 2008",
            "identifier": "133769257",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TIN 133769257 NON HMO PROVIDER #",
            "identifier": "5060223",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "0563346",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "133769257",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION TIN 364646171 PROVIDER NUMBER",
            "identifier": "134157",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TIN 364646171 PROVIDER #",
            "identifier": "C8T061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TIN 364646171 PROVIDER NUMBER",
            "identifier": "6836786",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION  TIN 133769257 PROVIDER #",
            "identifier": "906528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

Verify at the official NPI Registry.