Retina Consultants, PA, II

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA CONSULTANTS, PA, II

Practice address

1200 E Ridgewood Ave
Suite 207
Ridgewood, NJ 07450-3957

Phone

(201) 612-9600

Fax

(201) 612-0428

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larisa Kayserman, MDNPI 1417926361

Title

President

Phone

(201) 612-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jarnett@retconnj.intellechartdirect.net
• Direct secure messaging: rvallar@retconnj.intellechartdirect.net
• Direct secure messaging: lkayserman@retconnj.intellechartdirect.net

Practitioners 6

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

• Larisa Kayserman, MD

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1417926361
  Medicare reassignment Care Compare group NPD Authorized official
• Justin John Arnett, MD, MTM

  • Retina Specialist (Ophthalmology) Physician
  • Jersey City, NJ
  • NPI 1154988012
  Medicare reassignment Care Compare group NPD
• Rony Gelman, MD

  • Retina Specialist (Ophthalmology) Physician
  • Ridgewood, NJ
  • NPI 1164689535
  Medicare reassignment Care Compare group NPD
• Song Eun Lee, M.D.

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1972747749
  Medicare reassignment Care Compare group NPD
• Bradford C Liva, MD

  • Retina Specialist (Ophthalmology) Physician
  • Ridgewood, NJ
  • NPI 1669477485

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Robert V Vallar, MD

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1750350609
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1215906169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "SUITE 207",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-612-9600",
            "fax_number": "201-612-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "SUITE 207",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-612-9600",
            "fax_number": "201-612-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Pavonia Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073062932",
            "country_code": "US",
            "telephone_number": "201-656-1212",
            "fax_number": "201-656-3246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Clara Maass Dr Ste 255",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071093550",
            "country_code": "US",
            "telephone_number": "973-751-8808",
            "fax_number": "973-751-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CONSULTANTS, PA, II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KAYSERMAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-612-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6798501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael H Reilly, MD
• Jacob Mann Reinkraut, D.P.M.
• Dennis S Reison, MD
• Travis L Reiter, DPT
• Rem New Jersey, Inc.
• Gladys Reyes, APN
• Fred Rezvani
• Rhoda H Cobin MD PA
• Rhoda H. Cobin MD PA
• Aarezo Riaz

• Ophthalmology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.