DR. RICHARD E KOTY (NPI# 1003923038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003923038 |
| Entity Type | Individual |
| Full Name | DR. RICHARD E KOTY |
| Credential | M.D. |
| Practice Address |
60 N Country Rd Suite 301 Port Jefferson NY 11777-2188 |
| Mailing Address |
2800 Marcus Ave Pro Health Care New Hyde Park NY 11042 |
| Practice Telephone | 6314744200 |
| Practice Fax Number | 6314744202 |
| Mailing Telephone | 5166226000 |
| Mailing Fax Number | 5166222914 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 188236 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01580890 | 05 |
| Street Address |
60 N COUNTRY RD SUITE 301 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657755 | Morton L Glaser | Specialist | 60 N Country Rd, Ste 203, Port Jefferson, NY 11777-2188 | 2005-05-31 |
| 1265711071 | Suffolk Critical Care Associates, LLP | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2011-08-10 |
| 1669795563 | Suffolk Pulmonary Associates, LLP | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2010-03-05 |
| 1518186089 | Michelle Levi | Ophthalmology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-24 |
| 1154544567 | Sameh Wahba | Psychiatry & Neurology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-11 |
| 1467589861 | Long Island Pediatric Ophthalmology & Strabismus, P.C. | Ophthalmology | 60 N Country Rd, 301, Port Jefferson, NY 11777-2188 | 2007-02-27 |
| 1386779296 | Sunil K. Dhuper | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2007-02-22 |
| 1497812564 | Dennis Roy Dubey | Psychologist | 60 N Country Rd, Suite 204, Port Jefferson, NY 11777-2188 | 2007-01-01 |
| 1265549265 | Eric L Roberts | Specialist | 60 N Country Rd, Suite 301, Port Jefferson, NY 11777-2188 | 2006-08-24 |
| 1417064569 | Maury A Marmor | Specialist | 60 N Country Rd, Suite 301, Port Jefferson, NY 11777-2188 | 2006-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972607000 | Alfred Joseph Cossari Jr. | Ophthalmology | 311 Barnum Avenue, Port Jefferson, NY 11777 | 2006-09-11 |
| 1508863234 | Stanley Elihu Bogaty | Ophthalmology | 251 E Oakland Ave, Suite 201, Port Jefferson, NY 11777-2602 | 2005-07-07 |
| 1417250135 | Alfred J. Cossari, M.d., P.C. | Ophthalmology | 311 Barnum Ave, Port Jefferson, NY 11777-1682 | 2010-12-20 |
| 1114176278 | Anzhelika Vaccaro | Ophthalmology | 125 Oakland Ave, Suite 101, Port Jefferson, NY 11777-2130 | 2008-09-15 |
| 1518186089 | Michelle Levi | Ophthalmology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-24 |
| 1639396633 | Long Island Eye Physicians & Surgeons,pc | Ophthalmology | 251 E Oakland Ave, Port Jefferson, NY 11777-2166 | 2007-04-19 |
| 1467589861 | Long Island Pediatric Ophthalmology & Strabismus, P.C. | Ophthalmology | 60 N Country Rd, 301, Port Jefferson, NY 11777-2188 | 2007-02-27 |
| 1437157989 | Gerald Saul Stoller | Ophthalmology | 251 E Oakland Ave, Suite 201, Port Jefferson, NY 11777-2602 | 2005-07-08 |
| 1821096553 | Donna Lynn Geiger | Ophthalmology | 251 E Oakland Ave, Suite 204, Port Jefferson, NY 11777-2602 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
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| City | PORT JEFFERSON |
| Zip Code | 11777 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.