Organization Active NPI

NYU Neurometric Evaluation

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1073503629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NYU NEUROMETRIC EVALUATION
Practice address
462 1St Ave
Old Bellevue 8TH FL
New York, NY 10016-9196
Phone
(212) 598-6169
NPI assigned
Oct 25, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Andrew T. Rubin
Title
Sr. Asst. Dean of Clinical Affairs
Phone
(212) 263-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NY Primary

Addresses

Primary practice location

462 1St Ave
Old Bellevue 8TH FL
New York, NY 10016-9196

Mailing address

462 1St Ave
Old Bellevue 8TH FL
New York, NY 10016-9196
Phone (212) 598-6169

Other identifiers 1

IdentifierTypeStateIssuer
00429194MedicaidNY

National Provider Directory

National Provider Directory

Locations

462 1st Ave
Fl 8
New York, NY 10016
Phone (212) 263-7225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073503629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "address_2": "OLD BELLEVUE 8TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-598-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "address_2": "OLD BELLEVUE 8TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-598-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU NEUROMETRIC EVALUATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR. ASST. DEAN OF CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "212-263-2824"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00429194",
            "state": "NY"
        }
    ],
    "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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.