Active NPI
Robert A D'Amico, MD
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 085355
- Practice address
- 36 7TH Ave
Suite 506
New York, NY 10011-6609 - Phone
- (212) 807-8866
- Fax
- (212) 242-4513
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 085355 | NY | Primary |
Addresses
Primary practice location
36 7TH Ave
Suite 506
New York, NY 10011-6609
Mailing address
36 7TH Ave
Suite 506
New York, NY 10011-6609
Phone (212) 807-8866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130410 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Georgetown University School of Medicine, 1955
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1058 Forest Ave
Staten Island, NY 10310-2419
Phone (718) 818-1058
4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658
Hospital & facility affiliations
- Richmond University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085355 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Ophthalmology | Current | Accepting new patients |
| St Vincents Hospital and Medical Center | Past | Accepting new patients | |
| Stephen Berch MD PC | Ophthalmology | Past | Accepting new patients |
| Richmond University Medical Center | Past | Accepting new patients | |
| Maculacare, PLLC | Past | Accepting new patients |
Locations
275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- robert.d.amico.1@19656.direct.athenahealth.com
- rdamico68874@northwell.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
Ophthalmology
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Specialist
- New York, NY
- NPI 1841377355
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
-
- Specialist
- New York, NY
- NPI 1285746354
-
- Ophthalmology Physician
- Hudson, NY
- NPI 1144463365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1912015231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 7TH AVE",
"address_2": "SUITE 506",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116609",
"telephone_number": "212-807-8866",
"fax_number": "212-242-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 7TH AVE",
"address_2": "SUITE 506",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116609",
"telephone_number": "212-807-8866",
"fax_number": "212-242-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMICO",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-27",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "085355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130410",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.