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Long Island Vitreo Retinal Consultants

Retina Specialist (Ophthalmology) Physician in Great Neck, NY · enumerated 2007 · authorized official Kim Maccarone, Credentialing Manager.

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

National Provider Identifier

1740474402

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Registry record

Entity type Organization (Type 2)
Legal business name Long Island Vitreo Retinal Consultants
Practice address 600 Northern Blvd Ste 216, Great Neck, NY, 11021
Fax (516) 466-4956
Enumeration date Sep 5, 2007
Last updated in NPPES Jan 15, 2019

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kim Maccarone
Title Credentialing Manager

Other identifiers

Identifier Type State Issuer
44I491 Other NY DR E SHAKIN
423B91 Other NY DR K GRAHAM
5T9101 Other NY DR P FERRONE
45A371 Other NY DR J SHAKIN
316B51 Other NY DR V DERAMO
467A61 Other NY DR B ROSENBLATT
71A461 Other NY DR D FASTENBERG

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 is the NPI number for Long Island Vitreo Retinal Consultants?
The NPI for Long Island Vitreo Retinal Consultants is 1740474402, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Long Island Vitreo Retinal Consultants?
NPPES lists Kim Maccarone (Credentialing Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-15.