Tri-State Retina P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TRI-STATE RETINA P.C.

Practice address

559 Gramatan Ave Ste 202
Mount Vernon, NY 10552-2156

Phone

(914) 699-2020

Fax

(914) 699-2019

NPI assigned

Mar 31, 2019

Organization subpart

No

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

Authorized official

Name

Ravi Radhakrishnan, MDNPI 1457519340

Title

President

Phone

(914) 699-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RETINA CONSULTANTS OF WESTCHESTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Ravi Radhakrishnan, MD

  • Ophthalmology Physician
  • Mount Vernon, NY
  • NPI 1457519340
  Medicare reassignment NPD Authorized official
• Jungwoo Han, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pearl River, NY
  • NPI 1639519663
  NPD (past)
• Inna D Ostrovskaya

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1558420109
  NPD (past)
• Robert Anthony Prestiano Jr., MD

  • Gastroenterology Physician
  • Peekskill, NY
  • NPI 1245215110
  NPD (past)
• Alexandr Weinstein, MD

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1952347536
  NPD (past)

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1396206306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105830015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GRAMATAN AVE STE 202",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522156",
            "telephone_number": "914-699-2020",
            "fax_number": "914-699-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Middletown Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Pearl River",
            "state": "NY",
            "postal_code": "109651296",
            "country_code": "US",
            "telephone_number": "914-699-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Stowe Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Peekskill",
            "state": "NY",
            "postal_code": "105662582",
            "country_code": "US",
            "telephone_number": "914-734-2020",
            "fax_number": "914-699-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-STATE RETINA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "RADHAKRISHNAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-699-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RETINA CONSULTANTS OF WESTCHESTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• An Le Nhu Tran, M.D.
• Le Tran, RPH
• Eboni Travis
• Shedifa Treasure
• Tri-Star Behavioral Health Inc
• Claudette Hope Troyer, M.D.
• Denell Tucker
• Shanekia L Tulloch
• Kimally Tuloch
• Raymond Aung Tun, MD

• Ophthalmology Physician in Mount Vernon, NY
• Providers in Mount Vernon, 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 Jan 6, 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.