Vitreoretinal Surgeons LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

VITREORETINAL SURGEONS LLC

Practice address

1317 3Rd Ave
New York, NY 10021-2995

Phone

(203) 792-6191

Fax

(203) 744-3669

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vincent S Reppucci, M.D.NPI 1568493724

Title

Member

Phone

(203) 792-6291

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Vincent S Reppucci, MD

  • Retina Specialist (Ophthalmology) Physician
  • Danbury, CT
  • NPI 1568493724

  NY

  Medicare reassignment NPD Authorized official
• Abha Amin, MD

  • Ophthalmology Physician
  • Valhalla, NY
  • NPI 1023105608
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1609067545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105640",
            "telephone_number": "203-792-6191",
            "fax_number": "203-744-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "203-792-6191",
            "fax_number": "203-744-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREORETINAL SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "REPPUCCI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-792-6291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001289736",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01195317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prima Vithoontien, DPT
• Roberto Viti, RPH
• Seana Rachel Vitoff, MFT-LP
• Stephanie Vitolano, CPNP
• Shielshe Sheen Sepra Vitos
• Vitreous Retina Macula Consultants of New York
• Liliana Vittini Hernandez, M.D.
• Janie Vittini, M.A. LMHC
• Brooke Stephanie Vittor, LCSW
• Jennifer Vittorio, M.D.

• Retina Specialist (Ophthalmology) Physician in New York, NY
• Providers in New York, NY by specialty
• Retina Specialist (Ophthalmology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.