R REDDI MUTTANA MD PC (NPI# 1396025920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396025920 |
| Entity Type | Organization |
| Organization Name | R REDDI MUTTANA MD PC |
| Practice Address |
11 Ralph Pl Suite 317a Staten Island NY 10304-4401 |
| Mailing Address |
137 Upton St Staten Island NY 10304-3119 |
| Practice Telephone | 7187205257 |
| Mailing Telephone | 7187205257 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | DR. RAMAKRISHNA MUTTANA (OWNER) |
| Authorized Official Telephone | 7187205257 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
11 RALPH PL SUITE 317A |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320638 | Hsien Kwang Liu | Specialist | 11 Ralph Pl, Suite 302, Staten Island, NY 10304-4419 | 2005-07-18 |
| 1265990097 | Natalia Maximovsky | Nurse Practitioner | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2019-03-11 |
| 1376095992 | Ralph Place Optical LLC | Ophthalmology | 11 Ralph Pl, Suite 101, Staten Island, NY 10304-4401 | 2016-10-31 |
| 1477926384 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 11 Ralph Pl, Suite 109, Staten Island, NY 10304-4401 | 2015-11-02 |
| 1376964452 | Juliana Tacardon | Registered Nurse | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2013-12-17 |
| 1487990941 | Renata Zink | Nurse Practitioner | 11 Ralph Pl, Suite 214, Staten Island, NY 10304-4401 | 2013-01-02 |
| 1275818668 | Sima Raguthu Md Pllc | Psychiatry & Neurology | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2011-10-17 |
| 1568746014 | Luis G. Miranda, M.d., P.C. | Urology | 11 Ralph Pl, Suite 202, Staten Island, NY 10304-4401 | 2011-10-03 |
| 1720366453 | Advanced Allergy & Asthma Family Care Pllc | Allergy & Immunology | 11 Ralph Pl, Suite 305, Staten Island, NY 10304-4401 | 2011-07-29 |
| 1205127669 | Targee Street Internal Medicine Group | Family Medicine | 11 Ralph Pl, Suite 317b, Staten Island, NY 10304-4401 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518214295 | Anthony P Talorico | Ophthalmology | 3670 Richmond Ave, Staten Island, NY 10312-3835 | 2012-08-13 |
| 1487972121 | Mitchell A. Schuman, Md,pc | Ophthalmology | 1122 Richmond Rd, Staten Island, NY 10304-2402 | 2010-05-05 |
| 1144453671 | David Mostafavi | Ophthalmology | 3860 Victory Blvd, Staten Island, NY 10312 | 2009-09-01 |
| 1396912895 | Eye Surgery & Aesthetics PC | Ophthalmology | 35 Coverly Ave, Staten Island, NY 10301-4549 | 2008-05-13 |
| 1831315308 | Dr. R. Mostafavi, Ophthalmologist PC | Ophthalmology | 14 Bleeker Pl, Staten Island, NY 10314-3727 | 2007-04-17 |
| 1083753958 | Ramakrishna Reddi Muttana | Ophthalmology | 11 Ralph Pl Ste 317a, Staten Island, NY 10304-4419 | 2007-02-06 |
| 1497710818 | Abraham Zerykier | Ophthalmology | 16 Ross Avenue, Staten Island, NY 10306 | 2006-04-19 |
| 1144282997 | Patrick Anthony Derespinis Sr. | Ophthalmology | 2504 Richmond Rd., Staten Island, NY 10306 | 2006-04-06 |
| 1144281197 | Farzad Fakheri | Ophthalmology | 11 Ralph Pl Ste 106, Staten Island, NY 10304 | 2006-03-29 |
| 1871576025 | Michael Nejat | Ophthalmology | 4299 Hylan Blvd, Staten Island, NY 10312-6527 | 2005-11-22 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.