Individual provider Active NPI

Anthony R Napolitano, MD

  • Ophthalmology Physician
  • South Richmond Hill, NY
National Provider Identifier
1821146499
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
111453 Issued in NY
Practice address
10170 Lefferts Blvd
South Richmond Hill, NY 11419-2081
Phone
(718) 739-8550
Fax
(718) 441-6410
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 111453 NY Primary

Addresses

Primary practice location

10170 Lefferts Blvd
South Richmond Hill, NY 11419-2081

Mailing address

10170 Lefferts Blvd
South Richmond Hill, NY 11419-2081
Phone (718) 739-8550

Other identifiers 4

IdentifierTypeStateIssuer
653381OtherNYBCBS
180009271OtherNYRAILROAD
653382OtherNYBCBS
00200519MedicaidNY

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
I20040601001011 NY Practitioner - Ophthalmology 1759363179 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111453NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony R Napolitano MD PC Ophthalmology CurrentSince Mar 1, 1997 Accepting new patients

Locations

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

10170 Lefferts Blvd
South Richmond Hl, NY 11419
Phone (718) 441-7110

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1821146499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 LEFFERTS BLVD",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192081",
            "telephone_number": "718-739-8550",
            "fax_number": "718-441-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 LEFFERTS BLVD",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192081",
            "telephone_number": "718-739-8550",
            "fax_number": "718-441-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLITANO",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "111453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "653381",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "180009271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "653382",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.