MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC (NPI# 1831266493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831266493 |
| Entity Type | Organization |
| Organization Name | MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC |
| Other Organization Name | MID-HUDSON RETINA CONSULTANTS, PLLC |
| Practice Address |
450 Gidney Ave Newburgh NY 12550-3116 |
| Practice Telephone | 8455621100 |
| Practice Fax Number | 8455621162 |
| Mailing Telephone | 8455621100 |
| Mailing Fax Number | 8455621162 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | COLLEEN M LOCICERO (OFFICE MANAGER) |
| Authorized Official Telephone | 8456920834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
149190 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 149190-1 | 01 |
| NY | 00718525 | 05 | |
| NY | LICENSE | 192875-2 | 01 |
| Other Name | Type Code |
|---|---|
| MID-HUDSON RETINA CONSULTANTS, PLLC | Doing Business As Name - Organization |
| Street Address |
450 GIDNEY AVE |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994328 | Glenn J Green | Ophthalmology | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2005-09-30 |
| 1346500071 | The Children's Medical Group Pllc | Pediatrics | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2012-05-29 |
| 1104154897 | Newburgh Podiatry Pllc | Podiatrist | 450 Gidney Ave, Suite 3, Newburgh, NY 12550-3116 | 2009-11-18 |
| 1942435607 | Sharon Jolly Audiology & Speech Language Pathology, LLC | Speech-Language Pathologist | 450 Gidney Ave, Suite 201, Newburgh, NY 12550-3116 | 2009-05-26 |
| 1952570731 | Sharon A Jolly | Audiologist | 450 Gidney Ave, Suite 201, Newburgh, NY 12550-3116 | 2008-02-26 |
| 1972788255 | Warren Altwerger | Podiatrist | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2008-01-04 |
| 1619174554 | Larry Koreen | Ophthalmology | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2007-07-02 |
| 1962619593 | Sharon Jolly & Associates, LLC | Clinic/Center | 450 Gidney Ave, Suite 201, Newburgh, NY 12550-3116 | 2007-05-16 |
| 1588870976 | Jamie Darrel Shumake | Counselor | 450 Gidney Ave, Suite 201, Newburgh, NY 12550-3116 | 2007-05-15 |
| 1568505162 | Rubin Psychological Services,p.c. | Psychologist | 450 Gidney Ave, Suite 201, Newburgh, NY 12550-3116 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436462 | Dov B Sebrow | Ophthalmology | 450 Gidney Ave Ste 201, Newburgh, NY 12550-3153 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561859 | Rad Bintareef | Ophthalmology | 658 Malta Ave Ste 101, Malta, NY 12020-4105 | 2019-11-06 |
| 1194213231 | Louis S. Angioletti Md PC | Ophthalmology | 55 5th St Suite 1801, New York, NY 10003 | 2018-04-24 |
| 1205129962 | Gregory Eli Stein | Ophthalmology | 40 W 72nd St Ste A, New York, NY 10023-4195 | 2011-05-26 |
| 1134224702 | Howard Jay Kaplan | Ophthalmology | 94 Pine St, Poughkeepsie, NY 12601-3942 | 2006-09-14 |
| 1679505374 | Peter E Weseley | Ophthalmology | 310 E 14th St # 419, New York, NY 10003-4201 | 2006-07-06 |
| 1790746220 | Samer Farah | Ophthalmology | 3250 Westchester Ave, Suite 203a, Bronx, NY 10461-4500 | 2006-04-02 |
| 1124012737 | Retina-vitreous Surgeons of Central New York, PC | Ophthalmology | 200 Greenfield Pkwy, Liverpool, NY 13088-6655 | 2005-09-09 |
| 1760481030 | Louis S Angioletti | Ophthalmology | 55 5th Ave Ste 1801, New York, NY 10003-4301 | 2005-07-19 |
| 1356963755 | Brandon B Johnson Md PC | Ophthalmology | 161 E 32nd St, New York, NY 10016-6002 | 2020-05-08 |
| 1700407947 | Retina Group P.C. | Ophthalmology | 136 S Broadway, Yonkers, NY 10701-4008 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.