Individual provider Active NPI

Robert A D'Amico, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1912015231
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
085355 Issued in NY
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

Updated by the provider on Aug 19, 2008

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 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

IdentifierTypeStateIssuer
130410MedicaidNY

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
I20070111000594 NY Practitioner - Ophthalmology 9234139403 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY; Brooklyn, NY; New York, NY

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
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

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 Hospital, Staten Island, NY, CCN 330028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085355NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Oct 1, 2009 Accepting new patients
Amboy Medical Practice PC Ophthalmology CurrentSince Sep 1, 2024 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

  • Direct secure messaging: robert.d.amico.1@19656.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.