Organization Active NPI

Magazine Retinal Associates LLC

  • Ophthalmology Physician
  • New Orleans, LA
National Provider Identifier
1750452470
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9487 Issued in LA
Legal business name
MAGAZINE RETINAL ASSOCIATES LLC
Practice address
4747 Earhart Blvd
Ste J
New Orleans, LA 70125-1743
Phone
(504) 592-9818
Fax
(504) 525-0152
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Dr. Arley Gustavo Jaramillo, M.D.
Title
Doctor
Phone
(504) 592-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 9487 LA Primary

Addresses

Primary practice location

4747 Earhart Blvd
Ste J
New Orleans, LA 70125-1743

Mailing address

4747 Earhart Blvd
Ste J
New Orleans, LA 70125-1743
Phone (504) 592-9818

Other identifiers 1

IdentifierTypeStateIssuer
1449628MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1750452470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD",
            "address_2": "STE J",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251743",
            "telephone_number": "504-592-9818",
            "fax_number": "504-525-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD",
            "address_2": "STE J",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251743",
            "telephone_number": "504-592-9818",
            "fax_number": "504-525-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGAZINE RETINAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "ARLEY",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "504-592-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "9487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449628",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.