Active NPI
Retina Group PC
- Ophthalmology Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA GROUP PC
- Practice address
- 6 Xavier Dr
Yonkers, NY 10704-1371 - Phone
- (718) 798-3030
- NPI assigned
- Oct 12, 2006
- Last updated
- Nov 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Chess, M.D.
- Title
- Director
- Phone
- (718) 798-3030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
6 Xavier Dr
Yonkers, NY 10704-1371
Mailing address
2221 Boston Rd
Bronx, NY 10467-9005
Phone (718) 798-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000124 | NY | Part B Supplier - Clinic/Group Practice | 2567351182 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Brooklyn, NY; New York, NY |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1659463347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1053400721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 BOSTON RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104679005",
"telephone_number": "718-798-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 XAVIER DR",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041371",
"telephone_number": "718-798-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "CHESS",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-798-3030",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.