Active NPI
Joseph L Bacotti, MD
- Ophthalmology Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 139827
- Practice address
- 330 Old Country Rd
Number 100
Mineola, NY 11501 - Phone
- (516) 739-6600
- Fax
- (516) 739-6620
- NPI assigned
- Aug 4, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 139827 | NY | Primary |
Addresses
Primary practice location
330 Old Country Rd
Number 100
Mineola, NY 11501
Mailing address
825 E Gate Blvd Ste 111
Garden City, NY 11530-2124
Phone (516) 804-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00436246 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040211000589 | NY | Practitioner - Ophthalmology | 0547154403 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ophthalmic Consultants of Long Island
Practice addresses (Care Compare)
330 Old Country Rd
Suite 100
Mineola, NY 11501-4143
Phone (516) 739-6600
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 |
|---|---|---|---|
| 139827 | NY | MD | Ophthalmology Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Consultants of Long Island | Ophthalmology | Current | Accepting new patients |
| Joseph Bacotti MD PC | Past | Accepting new patients | |
| Ophthalmic Consultants of Long Island | Ophthalmology | Past | Accepting new patients |
Locations
4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400
825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200
189 Forest Ave
Ste 2C
Glen Cove, NY 11542
Phone (516) 674-3000
649 Broadway
Massapequa, NY 11758
Phone (516) 798-1411
2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777
2000 N Village Ave
#13202
Rockville Ctr, NY 11570
Phone (516) 766-2519
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- joseph.bacotti.p1@direct.ocli.nextgenshare.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Rockville Centre, NY
- NPI 1285675660
NY, Ophthalmology
-
- Ophthalmic Technician/Technologist
- Mineola, NY
- NPI 1548487523
-
- Durable Medical Equipment & Medical Supplies
- Huntington, NY
- NPI 1154830701
-
- Ophthalmology Physician
- Stony Brook, NY
- NPI 1245271600
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1962403519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E GATE BLVD STE 111",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302124",
"telephone_number": "516-804-5200",
"fax_number": "516-240-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 OLD COUNTRY RD",
"address_2": "NUMBER 100",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-739-6600",
"fax_number": "516-739-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACOTTI",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "139827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00436246",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.