JOHN GABRIEL PASSARELLI (NPI# 1679682702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679682702 |
| Entity Type | Individual |
| Full Name | JOHN GABRIEL PASSARELLI |
| Credential | MD |
| Practice Address |
601 Suffolk Ave Brentwood NY 11717-4309 |
| Practice Telephone | 6312314455 |
| Practice Fax Number | 6312315421 |
| Mailing Telephone | 6312314455 |
| Mailing Fax Number | 6312315421 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 140081 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02492253 | 05 |
| Street Address |
601 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194707570 | Catherine Carmela Scandiffio | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2005-11-18 |
| 1073164836 | Anthony Martinez | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2019-09-24 |
| 1497040422 | Albert A Marcantonio | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2011-06-17 |
| 1477784718 | Barry Richard Stabiner | Technician/Technologist | 601 Suffolk Ave, Ste1, Brentwood, NY 11717-4389 | 2009-08-04 |
| 1790957165 | Michelle Lee Adams | Physician Assistant | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2008-03-26 |
| 1114140266 | Neil Scott Nichols | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-04-10 |
| 1427177930 | Long Island Eye Refractive Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-03-28 |
| 1295896033 | Debbie G Wende | Optometrist | 601 Suffolk Ave, Brentwood Vision Center, Brentwood, NY 11717 | 2006-12-13 |
| 1518057546 | Long Island Ambulatory Surgery Center, LLC | Clinic/Center | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-13 |
| 1013006576 | Long Island Eye Surgical Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| 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 |
|---|---|---|---|---|
| 1457436321 | Robert Patrick Belihar | Ophthalmology | 105 Westwood Pl Ste 350, Brentwood, TN 37027-5077 | 2006-10-26 |
| 1659758498 | Alexandra T May | Ophthalmology | 1622 Westgate Cir, Brentwood, TN 37027-8019 | 2015-04-30 |
| 1427461722 | Tennessee Oculoplastic Consultants, Plc | Ophthalmology | 343 Franklin Rd, Suite 204, Brentwood, TN 37027-5250 | 2014-06-04 |
| 1114140266 | Neil Scott Nichols | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-04-10 |
| 1427177930 | Long Island Eye Refractive Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-03-28 |
| 1982749933 | California Eye Clinic | Ophthalmology | 1181 Central Blvd, Suite F, Brentwood, CA 94513-2278 | 2007-02-20 |
| 1013006576 | Long Island Eye Surgical Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-12 |
| 1669570487 | Edward Riegel | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-09-20 |
| 1174627277 | Raju Sarwal | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-09-11 |
| 1134155682 | Aaron Avni | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-06-25 |
| Find all providers in BRENTWOOD | ||||
Please comment or provide details below to improve the information on JOHN GABRIEL PASSARELLI.
| 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.