LONG ISLAND VITREO RETINAL CONSULTANTS PC – NPI #1437262755
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

LONG ISLAND VITREO RETINAL CONSULTANTS PC is an ophthalmologist located in GREAT NECK, NY. NPPES has assigned the NPI number 1437262755 to LONG ISLAND VITREO RETINAL CONSULTANTS PC on August 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Apr 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LONG ISLAND VITREO RETINAL CONSULTANTS PC below.

NPI Profile for
LONG ISLAND VITREO RETINAL CONSULTANTS PC

NPI Number
1437262755
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONG ISLAND VITREO RETINAL CONSULTANTS PC
Primary location
600 NORTHERN BLVD
SUITE 216
GREAT NECK, NY 11021
Phone: (516) 466-0390 Fax: (516) 466-4956
3 Other location(s):
200 Motor Pkwy Ste A2
Hauppauge, NY 11788-5112
Phone: (631) 234-5666
47 Commerce Ave Ste 2
Riverhead, NY 11901-3106
Phone: (631) 905-0666
64 N Long Beach Rd
Rockville Centre, NY 11570-5030
Phone: (516) 594-1010
Mailing address
600 NORTHERN BLVD STE 216
GREAT NECK, NY 11021-5200
Phone: (516) 466-0390 Fax: (516) 466-4956
Organization Subpart
No
Authorized Official
KIM MACCARONE
CREDENTIALING MANAGER
Phone: (516) 466-0390
Updated
Certification Date
Apr 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LONG ISLAND VITREO RETINAL CONSULTANTS PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY00710554
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
207W00000X
- Ophthalmology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.