Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David M Fastenberg, MD

Individual provider Ophthalmology Physician · NPI 1336252626

David M Fastenberg, MD is an Ophthalmology in Great Neck, New York. Graduated from New York University School of Medicine in 1976, 50 years ago. Practices with Long Island Vitreo Retinal Consultants PC, a 20-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
50
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Northern Blvd Ste 216
Great Neck, NY 11021
Phone: (516) 466-0390
Fax: (516) 829-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 131362 (NY)

Record details

NPI number1336252626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address600 Northern Blvd, Suite 216, Great Neck, NY 11021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Long Island Vitreo Retinal Consultants Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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