Retina Specialists of New York, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA SPECIALISTS OF NEW YORK, PLLC

Practice address

17017 Northern Blvd
Flushing, NY 11358-2709

Phone

(718) 539-6000

Fax

(718) 539-4021

NPI assigned

Apr 4, 2025

Organization subpart

No

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

Authorized official

Name

George Condax, MDNPI 1477529303

Title

Secretary

Phone

(718) 539-6000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Condax, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1477529303
  Medicare reassignment NPD Authorized official
• Peter Condax, M.D.

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1033170675
  Medicare reassignment NPD
• Jeffrey Jin-Yon Yu, MD

  • Retina Specialist (Ophthalmology) Physician
  • New York, NY
  • NPI 1790346609
  Medicare reassignment NPD

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1114721396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17017 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582709",
            "telephone_number": "718-539-6000",
            "fax_number": "718-539-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17017 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582709",
            "telephone_number": "718-539-6000",
            "fax_number": "718-539-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 W 60th St Apt 1Y",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237906",
            "country_code": "US",
            "telephone_number": "212-813-9339",
            "fax_number": "718-539-4021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2747 Crescent St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111023142",
            "country_code": "US",
            "telephone_number": "718-204-5250",
            "fax_number": "718-728-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA SPECIALISTS OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "CONDAX",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-539-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Camila Rengifo Osorio, RD CDN
• Chana Bracha Rennert, MS, OTR/L
• Resilient Med Inc
• Tayler Benni Resnick, MA, SLP
• Esmeriza Restituyo
• Julia Rettig
• Stephen Reuben
• Reunion Medical Services, PLLC
• Revenue Cycle Management Xpert Inc
• Revival Durable Medical Equipment Inc

• Ophthalmology Physician in Flushing, NY
• Providers in Flushing, 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 Apr 4, 2025; 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.

Verify at the official NPI Registry.