Healthcare Provider Details

I. General information

NPI: 1336355643
Provider Name (Legal Business Name): RONALD J LOPINTO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 OLD COUNTRY RD
PLAINVIEW NY
11803-4929
US

IV. Provider business mailing address

732 OLD COUNTRY RD
PLAINVIEW NY
11803-4929
US

V. Phone/Fax

Practice location:
  • Phone: 516-822-3911
  • Fax: 516-822-3983
Mailing address:
  • Phone: 516-822-3911
  • Fax: 516-822-3983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number150617
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier00930612
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: MR. RONALD J LOPINTO
Title or Position: OWNER
Credential: M.D.
Phone: 516-822-3911