Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152W00000X | Optometrist | | VUT005216 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0547568 | OTHER | NEW YORK | AETNA TIN 133769257 HMO PROVIDER # |
| 2 | 133769257 | OTHER | NEW YORK | MULTIPLAN PROVIDER TIN THRU 2008 |
| 3 | 364646171 | OTHER | NEW YORK | ADVANCED EYECARE OPTOMETRY PLLC TIN 2009-ON |
| 4 | 364646171 | OTHER | NEW YORK | VSP PROVIDER # 2009-ON |
| 5 | P3084111 | OTHER | NEW YORK | OXFORD PROVIDER # |
| 6 | 6836786 | OTHER | NEW YORK | AETNA TIN 364646171 PROVIDER NUMBER |
| 7 | 133769257 | OTHER | NEW YORK | FEDERAL TAX ID# |
| 8 | 364646171 | OTHER | NEW YORK | MULTIPLAN PROVIDER TIN 2009-ON |
| 9 | 134157 | OTHER | NEW YORK | BLOCK VISION TIN 364646171 PROVIDER NUMBER |
| 10 | 0563346 | OTHER | NEW YORK | GHI PROVIDER NUMBER |
| 11 | 133769257 | OTHER | NEW YORK | VSP PROVIDER # THRU 2008 |
| 12 | 1598840662 | OTHER | NEW YORK | MEDICARE GINA A DELLARCIPRETE INDIVIDUAL NPI |
| 13 | C61201 | OTHER | NEW YORK | MEDICARE TYPE ID UNSPECIFIED THRU 2008 |
| 14 | U36244 | MEDICARE UPIN | NEW YORK | |
| 15 | 2535942 | OTHER | NEW YORK | CIGNA TIN 364646171 PROVIDER NUMBER |
| 16 | 133769257 | OTHER | NEW YORK | GINA A DELLARCIPRETE, OD TIN THRU 2008 |
| 17 | C8T061 | OTHER | NEW YORK | BLUE CROSS BLUE SHIELD TIN 364646171 PROVIDER # |
| 18 | C8T061 | OTHER | NEW YORK | MEDICARE ID TYPE UNSPECIFIED 2009-ON |
| 19 | 1467693861 | OTHER | NEW YORK | MEDICARE ADVANCED EYECARE OPTOMETRY, PLLC GROUP NPI |
| 20 | 9430 | OTHER | NEW YORK | LOCAL 21 PLUMBERS AND STEAMFITTERS PROVIDER # |
| 21 | 133769257 | OTHER | NEW YORK | CIGNA PROVIDER # THRU 2008 |
| 22 | 906528 | OTHER | NEW YORK | BLOCK VISION TIN 133769257 PROVIDER # |
| 23 | C61201 | OTHER | NEW YORK | BLUE CROSS BLUE SHIELD TIN 133769257 PROVIDER # |
| 24 | OP1975 | OTHER | NEW YORK | EYEMED PROVIDER # |
| 25 | 364646171 | OTHER | NEW YORK | GINA A DELLARCIPRETE, OD TIN 2009-ON |
| 26 | 5060223 | OTHER | NEW YORK | AETNA TIN 133769257 NON HMO PROVIDER # |
