Individual provider Active NPI

Richard Jonathan Mackool, M.D.

  • Ophthalmology Physician
  • Astoria, NY
National Provider Identifier
1760406763
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
215249 Issued in NY
Practice address
3127 41St St
Astoria, NY 11103-3901
Phone
(718) 728-3400
Fax
(718) 721-7562
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 215249 NY Primary

Addresses

Primary practice location

3127 41St St
Astoria, NY 11103-3901

Mailing address

3127 41St St
Astoria, NY 11103-3901
Phone (718) 728-3400

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001325 NY Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 7810966603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

711 Stewart Ave
Suite 160
Garden City, NY 11530-4700
Phone (516) 804-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Apr 1, 2022 Accepting new patients
Richard J. Mackool, MD, LLC PastSince Sep 13, 2004 Accepting new patients
Julius Shulman MD PC Ophthalmology PastSince Jul 1, 2008 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology PastSince Apr 1, 2022 Accepting new patients

Locations

3127 41st St
#13292
Astoria, NY 11103

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: rj.mackool.p1@direct.ocli.nextgenshare.com

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1760406763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 41ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033901",
            "telephone_number": "718-728-3400",
            "fax_number": "718-721-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 41ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033901",
            "telephone_number": "718-728-3400",
            "fax_number": "718-721-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOOL",
        "first_name": "RICHARD",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.