Mohawk Valley Retina, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

223258 Issued in NY

Legal business name

MOHAWK VALLEY RETINA, PLLC

Practice address

4350 Middle Settlement Rd
New Hartford, NY 13413-5345

Phone

(315) 732-0995

Fax

(315) 732-0689

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Gifford

Title

Office Administrator

Phone

(315) 732-0995

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Joseph P Gale, M.D.

  • Ophthalmology Physician
  • New Hartford, NY
  • NPI 1942205935
  Medicare reassignment Care Compare group NPD
• Steven M Williams, M.D.

  • Ophthalmology Physician
  • New Hartford, NY
  • NPI 1417952193
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1972513273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132334",
            "telephone_number": "315-732-0995",
            "fax_number": "315-732-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135345",
            "telephone_number": "315-732-0995",
            "fax_number": "315-732-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY RETINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "315-732-0995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "208523",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "223258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Moffett, OTR
• Nadia Saad Mohamed, DPT
• Mohawk Valley Counseling Associatess
• Mohawk Valley Lactation, LLC
• Mohawk Valley Plastic & Reconstructive Surgery PLLC
• Ildiko Eva Monahan
• Coral N. Montana
• Joseph Samuel Montanaro
• Anne Moore, PA
• Geoffrey E. Moore, M.D.

• Ophthalmology Physician in New Hartford, NY
• Providers in New Hartford, 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 Feb 20, 2019; 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.