Individual provider Active NPI

Anthony Frederick Jahn, M.D.

  • Otology & Neurotology Physician
  • New York, NY
National Provider Identifier
1073546743
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
43060 Issued in NJ
Practice address
425 W 59TH St FL 10
New York, NY 10019-8022
Phone
(212) 262-4444
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 140820 NY
Otology & Neurotology Physician 207YX0901X 43060 NJ Primary

Addresses

Primary practice location

425 W 59TH St FL 10
New York, NY 10019-8022

Mailing address

425 West 59TH Street, 10TH Floor
New York, NY 10019
Phone (212) 262-4444

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
I20080714000126 NY Practitioner - Otolaryngology 2668544321 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43060NJMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Mar 1, 2018 Accepting new patients
Head & Neck Surgical Group, LLC Otolaryngology CurrentSince Jan 1, 2008 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Englewood Ear Nose & Throat PC PastSince Aug 1, 1997 Accepting new patients

Locations

425 W 59th St
#10
New York, NY 10019
Phone (212) 262-4444

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

425 W 59th St
Fl 10
New York, NY 10019
Phone (212) 262-4444

425 W 59th St
Ste 4E
New York, NY 10019
Phone (212) 262-4444

425 W 59th St
Fl 4E
New York, NY 10019
Phone (212) 262-4444

Networks

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

Organizations & group practices 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073546743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WEST 59TH STREET, 10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-262-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 59TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198022",
            "telephone_number": "212-262-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHN",
        "first_name": "ANTHONY",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "140820",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NJ",
            "license": "43060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.