Vincent Derosa, M.D.
NPI 1629395496 · Ophthalmology Physician · Jamestown, NY
Enrolled with Medicare as Order and Referring Only - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vincent Derosa, M.D. is a Ophthalmology Physician provider in Jamestown, NY (NPI 1629395496).
Provider details
- NPI number
- 1629395496
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 116552 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-03
- Last updated
- 2010-05-03
Frequently asked questions
- What is Vincent Derosa's NPI number?
- Vincent Derosa's National Provider Identifier (NPI) is 1629395496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vincent Derosa's specialty?
- Vincent Derosa is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Vincent Derosa located?
- Vincent Derosa's practice location on file with NPPES is 2652 Widdy Bostwick Lane, Jamestown, NY 14701-9111.
- What is Vincent Derosa's phone number?
- The practice phone number listed in the NPPES registry for Vincent Derosa is (716) 483-0355.
- Does Vincent Derosa accept Medicare?
- Vincent Derosa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vincent Derosa's NPI active?
- Yes — Vincent Derosa's NPI (1629395496) is active in the NPPES registry as of the last update on 2010-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.