Individual provider Active NPI

Rad Bintareef, MD

  • Retina Specialist (Ophthalmology) Physician
  • Malta, NY
National Provider Identifier
1114561859
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
297928 Issued in MN
Practice address
658 Malta Ave Ste 101
Malta, NY 12020-4105
Phone
(518) 580-0553
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 297928 MN Primary

Addresses

Primary practice location

658 Malta Ave Ste 101
Malta, NY 12020-4105

Mailing address

658 Malta Ave Ste 101
Malta, NY 12020-4105
Phone (518) 580-0553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297928MNMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Vitreo-Retinal Ophthalmology, PLLC CurrentSince Nov 10, 2019 Accepting new patients
Eyestudiony PastSince Nov 10, 2019 Accepting new patients

Locations

658 Malta Ave
#101
Malta, NY 12020
Phone (518) 580-0553

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1114561859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204105",
            "telephone_number": "518-580-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204105",
            "telephone_number": "518-580-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINTAREEF",
        "first_name": "RAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "297928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.