Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Long Island Vitreo Retinal Consultants PC

Retina Specialist (Ophthalmology) Physician in Elmhurst, NY · enumerated 2006 · authorized official David Fastenberg, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235242553

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Registry record

Entity type Organization (Type 2)

Legal business name Long Island Vitreo Retinal Consultants PC

Other name <Unavail>

Practice address 9131 Queens Blvd, Suite 209, Elmhurst, NY, 11373

Phone (718) 793-6430

Fax (718) 793-6321

Enumeration date Aug 17, 2006

Last updated in NPPES Feb 13, 2019

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary

207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Fastenberg

Title Authorized Official

Phone (516) 466-0390

Other identifiers

Identifier	Type	State	Issuer
00710554	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Long Island Vitreo Retinal Consultants PC?

Long Island Vitreo Retinal Consultants PC is registered in NPPES as a Retina Specialist (Ophthalmology) Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Mehrdad Golzad Specialist · Elmhurst, NY NPI 1306813597 Eva Morales Clinical Social Worker · Elmhurst, NY NPI 1730264086 Giomar Ramirez Social Worker · Elmhurst, NY NPI 1639241557 Patricia Cadavid Clinical Social Worker · Elmhurst, NY NPI 1891867719 Seth Meisel Physical Therapist · Elmhurst, NY NPI 1679649461 Yin Sin Chin Physical Therapist · Elmhurst, NY NPI 1770640971 Queens Rehabilitation Center Physical Therapist · Elmhurst, NY NPI 1174666028 Lydia Rosa Clinical Social Worker · Elmhurst, NY NPI 1518097310

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-13.