Anzhelika Vaccaro (NPI# 1114176278, PAC ID# 2365581659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1114176278 |
| PAC ID by PECOS | 2365581659 |
| Professional Enrollment ID | I20091130000010 |
| Full Name | Anzhelika Vaccaro |
| Organization Legal Name | OPHTHALMIC CONSULTANTS OF LONG ISLAND |
| Address |
125 Oakland Ave Suite 101 Port Jefferson NY 11777-2130 |
| Phone Number | 6318287100 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2005 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8022909076 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 125 Oakland Ave, Suite 101, Port Jefferson, NY 11777-2130 | 6318287100 | OPHTHALMIC CONSULTANTS OF LONG ISLAND |
| Organization Legal Name | OPHTHALMIC CONSULTANTS OF LONG ISLAND |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bokkwan Jun | Ophthalmology | Ophthalmic Consultants of Long Island | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 |
| Chad D Hummel | Ophthalmology | Ophthalmic Consultants of Long Island | 649 Broadway, Massapequa, NY 11758-2313 |
| Valerie Trubnik | Ophthalmology | Ophthalmic Consultants of Long Island | 330 Old Country Rd, Suite 100, Mineola, NY 11501-4143 |
| Eric Sigler | Ophthalmology | Ophthalmic Consultants of Long Island | 1700 E Jericho Tpke, Huntington, NY 11743-5614 |
| Ketan G Laud | Ophthalmology | Ophthalmic Consultants of Long Island | 360 Merrick Rd, Fl 3, Lynbrook, NY 11563-2526 |
| Joseph Weinstein | Ophthalmology | Ophthalmic Consultants of Long Island | 4212 Hempstead Tpke, Bethpage, NY 11714-5723 |
| Michael A Swerdin | Ophthalmology | Ophthalmic Consultants of Long Island | 1705 Broadway, Suite 3, Hewlett, NY 11557-1600 |
| Ronald J Lo Pinto | Ophthalmology | Ophthalmic Consultants of Long Island | 732 Old Country Rd, Plainview, NY 11803-4929 |
| Peter J Breingan | Ophthalmology | Ophthalmic Consultants of Long Island | 1355 Northern Blvd, Suite 300, Manhasset, NY 11030-3023 |
| Jolanta Mychajlyszyn | Physician Assistant | Ophthalmic Consultants of Long Island | 2000 N Village Ave, Rockville Center, NY 11570-1078 |
| Street Address |
125 OAKLAND AVE SUITE 101 |
| City | PORT JEFFERSON |
| State | NY |
| Zip | 11777-2130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katlyn A Conville | Nurse Practitioner | John T Mather Memorial Hospital | 125 Oakland Ave, Suite 301, Port Jefferson, NY 11777-2130 |
| Seemab Nazar Malik | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Charles G Bleecher | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Deborah A Kacherski | Nurse Practitioner | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Bibi N Zainul | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Priscilla Persaud | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Georgia R Kulina | Endocrinology | Harbor View Medical Services PC | 125 Oakland Ave, Suite 203, Port Jefferson, NY 11777-2130 |
| Jenna L Taglienti | Psychiatry | John T Mather Memorial Hospital | 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777-2130 |
| Claire D Kolensky | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Maureen A Boller Delaney | Nurse Practitioner | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
| Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
| Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
| Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
| Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
| Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
| Guy Anthony Koutouvidis | Clinical Social Worker | 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | |
| Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
| Find all physicians in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PORT JEFFERSON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Anzhelika Vaccaro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.