Active NPI
Teruko Neuwalder, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1033285507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 90236
- Practice address
- 11 E 68TH St
Suite 1-B
New York, NY 10021-4955 - Phone
- (212) 737-0404
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 90236 | NY | Primary |
Addresses
Primary practice location
11 E 68TH St
Suite 1-B
New York, NY 10021-4955
Mailing address
1600 Parker Avenue
Apt. 15-G
Ft. Lee, NJ 07024-7006
Phone (201) 569-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90236 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033285507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PARKER AVENUE",
"address_2": "APT. 15-G",
"city": "FT. LEE",
"state": "NJ",
"postal_code": "070247006",
"telephone_number": "201-569-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E 68TH ST",
"address_2": "SUITE 1-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214955",
"telephone_number": "212-737-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUWALDER",
"first_name": "TERUKO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "90236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.