Bay Ridge Eye & Retina Specialist
NPI 1306022652ActiveOrganization· Ophthalmology· Brooklyn, NY
Ophthalmology in Brooklyn, New York, registered in NPPES in January 2008. The authorized official on file is Samer A. Khosrof, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306022652 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2008 |
| Last updated in NPPES | Dec 12, 2023 |
| Certified by provider | Dec 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 241115 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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