Individual provider Active NPI

Jacob Seamus Kammerman, MD

  • Ophthalmology Physician
  • Staten Island, NY
National Provider Identifier
1790285781
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
346445 Issued in NY
Practice address
4299 Hylan Blvd
Staten Island, NY 10312-6527
Phone
(718) 984-7616
Fax
(718) 984-8584
NPI assigned
Feb 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 346445 NY Primary

Addresses

Primary practice location

4299 Hylan Blvd
Staten Island, NY 10312-6527

Mailing address

4299 Hylan Blvd
Staten Island, NY 10312-6527
Phone (718) 984-7616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101267976VAMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Gerstenfeld & Gerstenfeld M D S P C Ophthalmology CurrentSince Aug 10, 2026 Accepting new patients
Island Eye Optical Corp. PastSince Aug 10, 2026 Accepting new patients

Locations

4299 Hylan Blvd
Staten Island, NY 10312
Phone (718) 984-7616

1500 Victory Blvd
Staten Island, NY 10301
Phone (718) 556-5550

Organizations & group practices 2

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1790285781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126527",
            "telephone_number": "718-984-7616",
            "fax_number": "718-984-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126527",
            "telephone_number": "718-984-7616",
            "fax_number": "718-984-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMERMAN",
        "first_name": "JACOB",
        "middle_name": "SEAMUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "346445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.