Organization Active NPI

Westchester Vitreo Retinal, PC

  • Ophthalmology Physician
  • Rye, NY
National Provider Identifier
1699971101
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18998 Issued in NY
Legal business name
WESTCHESTER VITREO RETINAL, PC
Practice address
150 Purchase St
Suite 6
Rye, NY 10580-2141
Phone
(914) 967-5539
Fax
(914) 967-7149
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Paul R Kalkut, M.D.
Title
President
Phone
(912) 967-5539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 18998 NY Primary

Addresses

Primary practice location

150 Purchase St
Suite 6
Rye, NY 10580-2141

Mailing address

150 Purchase St
Suite 6
Rye, NY 10580-2141
Phone (914) 967-5539

National Provider Directory

National Provider Directory

Locations

101 S Bedford Rd
Ste 104
Mount Kisco, NY 10549
Phone (914) 666-2001

150 Purchase St
Ste 6
Rye, NY 10580
Phone (914) 967-5539

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1699971101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST",
            "address_2": "SUITE 6",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802141",
            "telephone_number": "914-967-5539",
            "fax_number": "914-967-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST",
            "address_2": "SUITE 6",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802141",
            "telephone_number": "914-967-5539",
            "fax_number": "914-967-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER VITREO RETINAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "KALKUT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-967-5539",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "18998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.