Organization Active NPI

Lance D. Redler M.D. PC

  • Ophthalmology Physician
  • Suffern, NY
National Provider Identifier
1245487677
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
101088-1 Issued in NY
Legal business name
LANCE D. REDLER M.D. PC
Practice address
11 North Airmont Road
Suffern, NY 10901
Phone
(845) 357-7722
Fax
(845) 369-0891
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Lance David Redler, M.D.
Title
Direct Owner
Phone
(845) 857-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 101088-1 NY Primary

Addresses

Primary practice location

11 North Airmont Road
Suffern, NY 10901

Mailing address

11 North Airmont Road
Suffern, NY 10901
Phone (845) 357-7722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1245487677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTH AIRMONT ROAD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-357-7722",
            "fax_number": "845-369-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTH AIRMONT ROAD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-357-7722",
            "fax_number": "845-369-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE D. REDLER M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "REDLER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "845-857-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "101088-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.