Maria Pedalino, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5708 Issued in NY

Practice address

1075 Brighton Beach Ave
Brooklyn, NY 11235-5666

Phone

(718) 332-4704

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Starlight Optical Inc.Group PAC ID 6002051745, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Galleria Optical Ny Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1659238202
  Medicare reassignment NPD Authorized official
• MP Optometry LLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1164905816
  Medicare reassignment NPD Authorized official
• New Starlight Optical Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1215289525
  Medicare reassignment Care Compare group NPD
• Galleria Optical Inc.

  • Optometrist
  • Brooklyn, NY
  • NPI 1992687339
  Medicare reassignment NPD
• JL Vision, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1861849671
  NPD (past)
• Oceanview Optical #6 Inc.

  • Optician
  • Brooklyn, NY
  • NPI 1407894447
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1750426110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 DOVER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "917-853-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355666",
            "telephone_number": "718-332-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDALINO",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02253616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Peckham
• Ivy Peckman, M.S. ED., LMHC
• Alfred A. Pecora, DC
• Maria Nancy Pecora, DPM
• Peter Anthony Pecoraro, PHARMD
• Ronald P. Pedalino, M.D.
• Pedia-Care Physicians, PLLC
• Pediacare Physicians PLLC
• Pediatric Associates of Brooklyn, LLP
• Pediatric Care

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.