Northeast Vitreo Retinal Assoc PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHEAST VITREO RETINAL ASSOC PC

Practice address

349 Northern Blvd
Albany, NY 12204

Phone

(518) 465-1069

Fax

(518) 426-8016

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Howard L Tanenbaum, MDNPI 1215956792

Title

Owner

Phone

(518) 465-1069

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northeast Vitreo Retinal Assoc PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Vitreo-Retinal Associates, P.C.

  • Medical Specialty Clinic/Center
  • Albany, NY
  • NPI 1952704199
  NPD tax ID

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.

• Howard Leon Tanenbaum, HOWARD TANENBAUM

  • Retina Specialist (Ophthalmology) Physician
  • Slingerlands, NY
  • NPI 1215956792
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093802597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-465-1069",
            "fax_number": "518-426-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-465-1069",
            "fax_number": "518-426-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST VITREO RETINAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-465-1069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Parent and Child Society, Inc.
• Northeast Psychological Associates
• Northeast Psychological Associates PLLC
• Northeast Urogynecology Pelvic Medicine and Reconstructive Surgery
• Northeast Urological Specialists, P.C.
• Northeast Vitreo-Retinal Assoc, P.C.
• Northeast Vitreo-Retinal Associates, P.C.
• Northeastern Association of the Blind at Albany, Inc
• Northern Rivers Family Services Inc.
• Northland Hearing Centers, Inc. (Hear For You)

• Ophthalmology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.