The Retina Group LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08820200 Issued in NJ

Legal business name

THE RETINA GROUP LLC

Practice address

5 Plainsboro Rd
Medical Arts Pavillion, Suite 510
Plainsboro, NJ 08536-1915

Phone

(973) 617-0473

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Chirag Patel

Title

MD

Phone

(973) 617-0473

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1457767659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD",
            "address_2": "MEDICAL ARTS PAVILLION, SUITE 510",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "973-617-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD",
            "address_2": "MEDICAL ARTS PAVILLION, SUITE 510",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "973-617-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-617-0473"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08820200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205940392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Plainsboro, NJ
• Providers in Plainsboro, 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 13, 2015; 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.