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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LONG ISLAND VITREO RETINAL CONSULTANTS PC
NPI 1235242553
Ophthalmology - Retina Specialist in Elmhurst, NY

Active since August 17, 2006CLIA Certified · 2 labs
9131 QUEENS BLVD, SUITE 209, ELMHURST, NY 11373(718) 793-6430(718) 793-6321 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Feb 13, 2019, Sep 13, 2018 and 2 more (5 updates tracked since 2016).

About Long Island Vitreo Retinal Consultants Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND VITREO RETINAL CONSULTANTS PC (NPI 1235242553), doing business as Vitreoretinal Consultants Pc, is a healthcare organization registered as a retina specialist in Elmhurst, New York and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kenneth B Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1235242553
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameLONG ISLAND VITREO RETINAL CONSULTANTS PC
Location Address9131 QUEENS BLVD, SUITE 209Elmhurst, NY 11373-5555
Mailing Address9131 Queens Blvd Ste 209Elmhurst, NY 11373-5511 · (718) 793-6430 · Fax (718) 793-6321
Phone(718) 793-6430
Fax(718) 793-6321
Organization SubpartNo
Authorized OfficialKenneth B GrahamOwner · (516) 466-0390
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1235242553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
9131 QUEENS BLVD, Elmhurst, NY 11373
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Other Names 1

Former Legal Business NameVitreoretinal Consultants Pc

Other Identifiers 1

Medicaid00710554NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1075821

Long Island Vitreoretinal Consultants · Great Neck, NY
Active · expires Oct 29, 2027
CLIA Number33D1075821
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorPhilip J. Ferrone
Laboratory Phone(516) 466-0390
Laboratory LocationLong Island Vitreoretinal Consultants600 Northern Blvd Suite 216, Great Neck, NY 11021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2278257

Long Island Vitreoretinal Consultants · Westbury, NY
Active · expires Mar 13, 2027
CLIA Number33D2278257
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDr. Philip J. Ferrone
Laboratory Phone(516) 466-0390
Laboratory LocationLong Island Vitreoretinal Consultants1600 Stewart Ave, Suite 411, Westbury, NY 11590
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA AROCHO RUIZ
Licensed Practical Nurse
9131 QUEENS BLVD, SUITE 201
ELMHURST, NY 11373
Queens County (718) 281-8799
TANYA QUINN
Licensed Practical Nurse
9131 QUEENS BLVD, SUITE 201
ELMHURST, NY 11373
Queens County (718) 281-8799
ASHER COCKBURN LMSW
Social Worker
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 896-3400
TANYA GRACE-EREKA AVERY LMSW
Social Worker
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 896-3400
ST MARY'S COMMUNITY CARE PROFESSIONAL, CORP.
Home Health
9131 QUEENS BLVD, SUITE 201
ELMHURST, NY 11373
Queens County (718) 819-2713
MARIA LUCIA JIMENEZ, MA,PT,PC
Physical Therapist
9131 QUEENS BLVD, SUITE 314
ELMHURST, NY 11373
Queens County (718) 205-3435
RUTHGINA DESINOR
Licensed Practical Nurse
9131 QUEENS BLVD
ELMHURST, NY 11373
Queens County (718) 281-8688
AVRAHAM C SCHWEIGER
Psychologist
9131 QUEENS BLVD, #314
ELMHURST, NY 11373
Queens County (718) 454-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Island Vitreo Retinal Consultants PC's NPI number?

The NPI number for Long Island Vitreo Retinal Consultants PC is 1235242553. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider was formerly known as Vitreoretinal Consultants pc.

Where is Long Island Vitreo Retinal Consultants PC located?

Long Island Vitreo Retinal Consultants PC is located at 9131 Queens Blvd Suite 209, Elmhurst, NY 11373. The listed phone number is (718) 793-6430.

What is Long Island Vitreo Retinal Consultants PC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Long Island Vitreo Retinal Consultants PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Long Island Vitreo Retinal Consultants PC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.