Retina Associates of New Jersey PA

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA ASSOCIATES OF NEW JERSEY PA

Practice address

1700 Galloping Hill Rd
Kenilworth, NJ 07033

Phone

(908) 458-8333

Fax

(908) 458-8339

NPI assigned

Aug 3, 2006

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Harris, M.D.NPI 1912915125

Title

M.D.

Phone

(908) 458-8333

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Harris, MD

  • Retina Specialist (Ophthalmology) Physician
  • Palm Beach Gardens, FL
  • NPI 1912915125
  NPD (past) Authorized official
• David Doobin, MD

  • Ophthalmology Physician
  • Belleville, NJ
  • NPI 1336646777
  NPD (past)
• Lekha Koppolu Desai, MD

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1548503543
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1457369738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 GALLOPING HILL RD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331303",
            "telephone_number": "908-458-8333",
            "fax_number": "908-458-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GALLOPING HILL RD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "07033",
            "telephone_number": "908-458-8333",
            "fax_number": "908-458-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "908-458-8333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kathleen Quinlan-Ilich, LPC
• Radiant ABA LLC
• Vasiliki Rallatos-Drake, PT, DPT
• Michael Rallatos, DPM
• RDX Bioscience, Inc
• Retina Vitreaus Center (Associated Retina Consultants LLC)
• Francesco Rizzo, LMFT, LCADC
• Tara Ann Robinson, MS, CCC-SLP
• Nicolas Romano
• Aiden James Samila

• Retina Specialist (Ophthalmology) Physician in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Retina Specialist (Ophthalmology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.