RETINA SPECIALISTS OF NEW YORK, PLLC
NPI 1114721396
Ophthalmology in Flushing, NY

Q: What is Retina Specialists Of New York, PLLC's NPI number?

The NPI number for Retina Specialists Of New York, PLLC is 1114721396. It was assigned to this organization in the NPPES registry on April 4, 2025.

Q: What is Retina Specialists Of New York, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since April 04, 2025

17017 NORTHERN BLVD, FLUSHING, NY 11358(718) 539-6000(718) 539-4021 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Retina Specialists Of New York, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA SPECIALISTS OF NEW YORK, PLLC (NPI 1114721396) is a healthcare organization registered as an ophthalmology in Flushing, New York and active in the NPI registry since April 2025. The organization maintains 2 additional practice locations and lists George Condax, Secretary, as its authorized official.

NPPES Registry Identity

NPI1114721396

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameRETINA SPECIALISTS OF NEW YORK, PLLC

Location Address17017 NORTHERN BLVDFlushing, NY 11358-2709

Mailing Address17017 Northern BlvdFlushing, NY 11358-2709 · (718) 539-6000 · Fax (718) 539-4021

Phone(718) 539-6000

Fax(718) 539-4021

Organization SubpartNo

Authorized OfficialGeorge CondaxSecretary · (718) 539-6000

Enumeration DateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1114721396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X

17017 NORTHERN BLVD, Flushing, NY 11358

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Secondary Practice Locations 2

Location 12747 Crescent St Ste 202Astoria, NY 11102-3142 · Phone (718) 204-5250 · Fax (718) 728-4191

Location 230 W 60th St Apt 1YNew York, NY 10023-7906 · Phone (212) 813-9339 · Fax (718) 539-4021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina Specialists Of New York, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Retina Specialists Of New York, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jeffrey Yu, MD

Ophthalmology

NPI 1790346609

170-17 NORTHERN BLVD
New York, NY 11358

(718) 539-6000

✔ PECOS✔ Accepts MedicareSame address

Peter Condax, M.D.

Ophthalmology

NPI 1033170675

2747 CRESCENT ST SUITE 202
Astoria, NY 11102

(718) 204-5250

✔ PECOS✔ Accepts Medicare6.8 mi

George Condax, MD

Ophthalmology

NPI 1477529303

30 W 60TH ST APT 1Y
New York, NY 10023

(412) 506-1919

✔ PECOS✔ Accepts Medicare9.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Specialists Of New York, PLLC's NPI number?

The NPI number for Retina Specialists Of New York, PLLC is 1114721396. It was assigned to this organization in the NPPES registry on April 4, 2025.

Where is Retina Specialists Of New York, PLLC located?

Retina Specialists Of New York, PLLC is located at 17017 Northern Blvd, Flushing, NY 11358. The listed phone number is (718) 539-6000.

What is Retina Specialists Of New York, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Retina Specialists Of New York, PLLC enrolled in Medicare?

Yes. Retina Specialists Of New York, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Specialists Of New York, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Specialists Of New York, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Retina Specialists Of New York, PLLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.