MEDICARE: RETINA MACULA INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G78240	CA

General Provider Information

NPI Number	:	1487798773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA MACULA INSTITUTE

Provider Business Mailing Address
First Line	:	420 MOUNTAIN AVE FL 4
Second Line	:
City	:	NEW PROVIDENCE
State	:	NJ
Zip	:	07974-2736
Country	:	US
Telephone Number	:	908-458-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 TORRANCE BLVD STE 220
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-4537
Country	:	US
Telephone Number	:	310-944-9393
Fax Number	:	310-318-5317

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN MADREPERLA
Credential	:	MD, PHD
Telephone Number	:	908-458-8333

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	05/07/2026

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Directions to “RETINA MACULA INSTITUTE ” Practice Location

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