VITREORETINAL SURGEONS LLC NPI 1609067545

NPI Information

  • NPI: 1609067545
  • Provider Name: VITREORETINAL SURGEONS LLC
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • Address: 1317 3RD AVE
    NEW YORK, NY
    ZIP 10021
  • Phone: (203) 792-6191

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NPI Details

VITREORETINAL SURGEONS LLC is a retina specialist ophthalmology in New York, NY. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. VITREORETINAL SURGEONS LLC NPI is 1609067545. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1317 3RD AVE
NEW YORK, NY
ZIP 10021-995
Phone: (203) 792-6191
Fax: (203) 744-3669

The provider's authorized official is Vincent S Reppucci .
The authorized official title is Member and has the following contact phone number (203) 792-6291.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/29/2024.

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
1207WX0107XOphthalmologyRetina SpecialistYes

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
1001289736MEDICAIDCONNECTICUT
201195317MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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