Individual provider Active NPI

Sean Michael Bailey, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1003065715
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
239370 Issued in NY
Practice address
530 1St Ave
Suite 7a
New York, NY 10016-6402
Phone
(212) 263-7477
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 239370 NY Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 239370 NY

Addresses

Primary practice location

530 1St Ave
Suite 7a
New York, NY 10016-6402

Mailing address

330 E 38TH St
Apt 42P
New York, NY 10016-2759
Phone (917) 608-8118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbailey44148@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018000973 NY Practitioner - Pediatric Medicine 2961778022 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Sep 11, 2017 Accepting new patients
New York University CurrentSince Sep 11, 2017 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York University Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

317 E 34th St
Rm 902
New York, NY 10016
Phone (646) 459-8500

530 1st Ave
Ste 7A
New York, NY 10016
Phone (212) 263-7477

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sbailey672497@nychhc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1003065715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 38TH ST",
            "address_2": "APT 42P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162759",
            "telephone_number": "917-608-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SUITE 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "239370",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "239370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbailey44148@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "317 E 34th St Rm 902",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100164974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.