Retina Macula Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08933200 Issued in NJ

Legal business name

RETINA MACULA INSTITUTE

Practice address

26 Daniel Dr
Little Silver, NJ 07739-1504

Phone

(908) 285-8287

NPI assigned

Oct 16, 2013

Last updated

Oct 16, 2013By 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

Rupan Trikha, MD

Title

Owner

Phone

(908) 285-8287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1639507270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DANIEL DR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391504",
            "telephone_number": "908-285-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DANIEL DR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391504",
            "telephone_number": "908-285-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA MACULA INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "TRIKHA",
        "authorized_official_first_name": "RUPAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-285-8287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08933200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.