Individual provider Active NPI

Michelle Cremonini, OD

  • Optometrist
  • Cross River, NY
National Provider Identifier
1881460640
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009926 Issued in NY
Practice address
20B N Salem Rd
Cross River, NY 10518-1104
Phone
(914) 763-0560
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009926 NY Primary

Addresses

Primary practice location

20B N Salem Rd
Cross River, NY 10518-1104

Mailing address

1 Sunnyside LN
New Fairfield, CT 06812-3121
Phone (203) 300-4491

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412002726 NY Practitioner - Optometry 1658710488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weinbergerand Gaglioti OD PCGroup PAC ID 5395636476, 4 clinicians
Gaglioti and Weinberger Optometry Practice PCGroup PAC ID 2860915881, 4 clinicians

Practice addresses (Care Compare)

179 S Riverside Ave
Croton, NY 10520-2605
Phone (914) 271-9411

20 B N Salem Rd
Cross River, NY 10518-0238
Phone (914) 763-0560

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weinberger& Gaglioti OD PC Optometrist CurrentSince Mar 5, 2024 Accepting new patients
Gaglioti & Weinberger Optometry Practice PC Optometrist CurrentSince Feb 24, 2025 Accepting new patients

Locations

20 N Salem Rd
#B
Cross River, NY 10518
Phone (914) 763-0560

179 S Riverside Ave
Croton on Hudson, NY 10520
Phone (914) 271-9411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1881460640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUNNYSIDE LN",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123121",
            "telephone_number": "203-300-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20B N SALEM RD",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181104",
            "telephone_number": "914-763-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMONINI",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross River, NY

Sources for this page

Verify at the official NPI Registry.