Organization Active NPI

Retina Associates of New York,P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1629145370
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RETINA ASSOCIATES OF NEW YORK,P.C.
Practice address
140 E 80TH St
New York, NY 10075-0306
Phone
(212) 772-0600
Fax
(212) 517-8028
NPI assigned
Nov 29, 2006
Last updated
Nov 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Dr. Ben Zane Cohen, M.D.NPI 1083608186
Title
Chief Officer
Phone
(212) 772-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

140 E 80TH St
New York, NY 10075-0306

Mailing address

140 E 80TH Street
New York, NY 10075-0306
Phone (212) 772-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000691 NY Part B Supplier - Clinic/Group Practice 1456242445 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Forest Hills, NY; New Rochelle, NY; New York, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1045643Retina Associates of New York PC140 East 80TH Street, New York, NY 10075Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Retina Associates of New Yorkpc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1629145370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 80TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750306",
            "telephone_number": "212-772-0600",
            "fax_number": "212-517-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750306",
            "telephone_number": "212-772-0600",
            "fax_number": "212-517-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF NEW YORK,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "ZANE",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "212-772-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.