Metropolitan Retina Associates P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

131057 Issued in NY

Legal business name

METROPOLITAN RETINA ASSOCIATES P.C.

Practice address

2035 Ralph Ave
Suite A6
Brooklyn, NY 11234-5300

Phone

(718) 209-0101

Fax

(718) 209-0194

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth S Felder, M.D.

Title

President

Phone

(718) 209-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. kenneth S Felder Other name

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1497769798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "SUITE A6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-209-0101",
            "fax_number": "718-209-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "SUITE A6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-209-0101",
            "fax_number": "718-209-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN RETINA ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-209-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "131057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00717209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. kenneth S Felder",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.