Northeast Vitreo-Retinal Assoc, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHEAST VITREO-RETINAL ASSOC, P.C.

Practice address

350 Northern Blvd
Suite 301
Albany, NY 12204-1000

Phone

(518) 465-1069

NPI assigned

Nov 8, 2006

Last updated

Oct 30, 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

Dr. Howard Tanenbaum, MD

Title

President

Phone

(518) 465-1069

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Jessica C Fleishman, MD

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1669521845
  NPD (past)
• Anna Majerovics, MD

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1437246931
  NPD (past)
• Steven T Simmons, M.D.

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1932157559
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1750451076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041000",
            "telephone_number": "518-465-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041000",
            "telephone_number": "518-465-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST VITREO-RETINAL ASSOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-465-1069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Psychological Associates
• Northeast Psychological Associates PLLC
• Northeast Urogynecology Pelvic Medicine and Reconstructive Surgery
• Northeast Urological Specialists, P.C.
• Northeast Vitreo Retinal Assoc PC
• Northeast Vitreo-Retinal Associates, P.C.
• Northeastern Association of the Blind at Albany, Inc
• Northern Rivers Family Services Inc.
• Northland Hearing Centers, Inc. (Hear For You)
• Northpointe Integrative Counseling, Psychotherapy, LCSW PLLC

• Ophthalmology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.