Provider Demographics
NPI:1356483127
Name:AIELLO EYECARE ASSOCIATES, PC
Entity Type:Organization
Organization Name:AIELLO EYECARE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:AIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-836-2001
Mailing Address - Street 1:8723 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5103
Mailing Address - Country:US
Mailing Address - Phone:718-836-2001
Mailing Address - Fax:718-836-8210
Practice Address - Street 1:8723 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5103
Practice Address - Country:US
Practice Address - Phone:718-836-2001
Practice Address - Fax:718-836-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2021-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198895174400000X
207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1C0855OtherTOUCHSTONE
NY1C0855OtherHEALTHNET
NY40426027699OtherFIDELIS
NY565897OtherAETNA
NY1311820OtherEMPIRE PLAN
NY252850201OtherHEALTHPLUS
NYP379029OtherOXFORD
NYAT8895OtherATLANTIS
NY1311820OtherUNITED HEALTHCARE
NY6241886001OtherCIGNA
NY198895-A15OtherHEALTHFIRST
NY01591639Medicaid
NY0400968OtherGHI
NY32478POtherHIP
NY11224OtherELDERPLAN
NY168281OtherEMPIRE BLUE CROSS
NY40426027699OtherFIDELIS
NY4331300001Medicare NSC
NY1311820OtherEMPIRE PLAN
NY198895-A15OtherHEALTHFIRST