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CHRISTINA VICIDOMINI
NPI 1962902304
Ophthalmology in Brooklyn, NY

Active since February 12, 2018PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1584 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2022, Feb 12, 2018 (2 updates tracked since 2018).

About Christina Vicidomini NPPES

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

CHRISTINA VICIDOMINI (NPI 1962902304) is an individual ophthalmology provider in Brooklyn, New York, licensed in New York (301808) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1962902304
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCHRISTINA VICIDOMINI
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address2407 Ditmars Blvd Apt 2Astoria, NY 11105-3337 · (347) 236-5704
Phone(718) 270-1584
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1962902304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 301808
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
450 CLARKSON AVE, Brooklyn, NY 11203
Open in Google Maps ↗

Secondary Practice Location 1

Location 1355 Bard AveStaten Island, NY 10310-1664 · Phone (718) 818-1234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Vicidomini is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christina Vicidomini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amboy Medical Practice PC
8.6 mi
Diagnostic Radiology
355 BARD AVE
Staten Island, NY 10310
  • Reassigned Medicare billing, New York enrollment
  • 305 clinicians in this Medicare group
NPI 1104692672 (718) 818-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

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 Christina Vicidomini's NPI number?

The NPI number for Christina Vicidomini is 1962902304. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Christina Vicidomini located?

Christina Vicidomini practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1584.

What is Christina Vicidomini's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Christina Vicidomini enrolled in Medicare?

Yes. Christina Vicidomini is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christina Vicidomini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Vicidomini reassigns Medicare benefits to Amboy Medical Practice PC (Staten Island, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christina Vicidomini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christina Vicidomini was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.