Capital Region Retina, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

184437 Issued in NY

Legal business name

CAPITAL REGION RETINA, PLLC

Practice address

1365 Washington Ave
Suite 101
Albany, NY 12206-1068

Phone

(518) 437-1111

Fax

(518) 435-1114

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey H Atern, M.D., PH.D.

Title

Owner

Phone

(518) 437-1111

Specialties & licenses 1

Addresses

Other identifiers 1

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 4

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

• Michael Donald Radosevich, M.D., P.H.D.

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1932136827
  Medicare reassignment Care Compare group NPD
• Jeffrey Howard Stern, MD

  • Specialist
  • Albany, NY
  • NPI 1487685228
  Medicare reassignment Care Compare group NPD
• Hao Wang, MD

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1770786287
  Medicare reassignment Care Compare group NPD
• John King, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Little Rock, AR
  • NPI 1255350021
  NPD (past)

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1982888988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061068",
            "telephone_number": "518-437-1111",
            "fax_number": "518-435-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061068",
            "telephone_number": "518-437-1111",
            "fax_number": "518-435-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION RETINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "ATERN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-437-1111",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "184437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01482508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Region Mental Health Counseling PLLC
• Capital Region Open MRI, Inc
• Capital Region Orthopaedic Associates, PC
• Capital Region Otolaryngology Head & Neck Group. LLP
• Capital Region Pathologists PC
• Capital Region Urological Surgeons
• Capital Region Urological Surgeons
• Capital Region Urological Surgeons PLLC
• Capital Regional RX LLC
• Capital Urology Care, P.C.

• Specialist in Albany, NY
• Providers in Albany, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.