1. Home
  2. Directory
  3. New Jersey
  4. Ridgewood
  5. Ophthalmology
  6. NPI Profile

RETINA CONSULTANTS, PA, II
NPI 1215906169
Ophthalmology in Ridgewood, NJ

Active since March 14, 2006
1200 E RIDGEWOOD AVE, SUITE 207, RIDGEWOOD, NJ 07450(201) 612-9600(201) 612-0428 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Retina Consultants, Pa, Ii NPPES

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

RETINA CONSULTANTS, PA, II (NPI 1215906169) is a healthcare organization registered as an ophthalmology in Ridgewood, New Jersey and active in the NPI registry since March 2006. The organization maintains 2 additional practice locations and lists Larisa Kayserman, President, as its authorized official.

NPPES Registry Identity

NPI1215906169
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CONSULTANTS, PA, II
Location Address1200 E RIDGEWOOD AVE, SUITE 207Ridgewood, NJ 07450-3957
Mailing Address1200 E Ridgewood Ave, Suite 207Ridgewood, NJ 07450-3957 · (201) 612-9600 · Fax (201) 612-0428
Phone(201) 612-9600
Fax(201) 612-0428
Organization SubpartNo
Authorized OfficialLarisa KaysermanPresident · (201) 612-9600
Enumeration DateMarch 14, 2006
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1215906169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1200 E RIDGEWOOD AVE, Ridgewood, NJ 07450
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 Pavonia Ave Ste 4Jersey City, NJ 07306-2932 · Phone (201) 656-1212 · Fax (201) 656-3246
Location 21 Clara Maass Dr Ste 255Belleville, NJ 07109-3550 · Phone (973) 751-8808 · Fax (973) 751-3095

Other Identifiers 1

Medicaid6798501NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Consultants, Pa, Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Retina Consultants, PA, II, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Rony Gelman, MD
Ophthalmology
NPI 1164689535
1200 E RIDGEWOOD AVE
Ridgewood, NJ 07450
(201) 612-9600
✔ PECOS✔ Accepts MedicareSame address
Larisa Kayserman, MD
Ophthalmology
NPI 1417926361
1200 E RIDGEWOOD AVE
Ridgewood, NJ 07450
(201) 612-9600
✔ PECOS✔ Accepts MedicareSame address
Song Eun Lee, M.D.
Ophthalmology
NPI 1972747749
1200 E RIDGEWOOD AVE STE #207
Ridgewood, NJ 07450
(201) 612-9600
✔ PECOS✔ Accepts MedicareSame address
Robert Vallar, MD
Ophthalmology
NPI 1750350609
1200 E RIDGEWOOD AVE
Ridgewood, NJ 07450
(201) 612-9600
✔ PECOS✔ Accepts MedicareSame address
Bradford Liva, MD
Ophthalmology
NPI 1669477485
119 PROSPECT ST STE 1
Ridgewood, NJ 07450
(201) 444-1185
✔ PECOS✔ Accepts Medicare1.3 mi
Justin Arnett, MD, MTM
Ophthalmology
NPI 1154988012
600 PAVONIA AVE STE 4
Jersey City, NJ 07306
(201) 656-1212
✔ PECOS✔ Accepts Medicare17 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 Consultants, PA, II's NPI number?

The NPI number for Retina Consultants, PA, II is 1215906169. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Retina Consultants, PA, II located?

Retina Consultants, PA, II is located at 1200 E Ridgewood Ave Suite 207, Ridgewood, NJ 07450. The listed phone number is (201) 612-9600.

What is Retina Consultants, PA, II's specialty?

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

Is Retina Consultants, PA, II enrolled in Medicare?

Yes. Retina Consultants, PA, II is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Consultants, PA, II?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Consultants, PA, II. 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, 4 practice at this address and 5 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 Consultants, PA, II was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.