Active NPI
Anthony Marinelli, OD
- Optometrist
- Patchogue, NY
National Provider Identifier
1972526085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005560
- Practice address
- 331 East Main St
Patchogue, NY 11772 - Phone
- (631) 758-5300
- Fax
- (631) 758-5301
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005560 | NY | Primary |
Addresses
Primary practice location
331 East Main St
Patchogue, NY 11772
Mailing address
279 E 3Rd St
New York, NY 10009-7813
Phone (212) 477-8500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20504 Hillside Ave
Hollis, NY 11423-2218
Phone (718) 464-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005560 | NY | MD | Optometrist |
| 005560 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sajid Malik MD PC | Optometrist | Current | Accepting new patients |
| Woodbury Optical Studio, Inc. | Past | Accepting new patients | |
| Long Island Behavioral Medicine PC | Past | Accepting new patients | |
| Sajid Malik MD PC | Optometrist | Past | Accepting new patients |
| Bobs Optical Inc. | Past | Accepting new patients |
Locations
185 Woodbury Rd
Hicksville, NY 11801
Phone (516) 681-3937
9014 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 651-2200
20504 Hillside Ave
Jamaica, NY 11423
Phone (718) 464-2020
Organizations & group practices 5
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.
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- Eyewear Supplier
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- NPI 1699824169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1972526085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 E 3RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100097813",
"telephone_number": "212-477-8500",
"fax_number": "212-473-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 EAST MAIN ST",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-758-5300",
"fax_number": "631-758-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINELLI",
"first_name": "ANTHONY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.