Individual provider Active NPI

David Reuben Musher, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1104800218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
104154 Issued in NY
Practice address
1158 5TH Ave
New York, NY 10029-6917
Phone
(212) 410-0004
Fax
(212) 534-8539
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 104154 NY Primary

Addresses

Primary practice location

1158 5TH Ave
New York, NY 10029-6917

Mailing address

1158 5TH Ave
New York, NY 10029-6917
Phone (212) 410-0004

Other identifiers 1

IdentifierTypeStateIssuer
180992MedicaidNY

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
I20140911000855 NY Order and Referring Only - GastroenterologyPractitioner - GastroenterologyPractitioner - Internal Medicine 2264651975

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Neurosurgery Associates, PC Past Accepting new patients
Kingsbrook Medical Associates PC Past Accepting new patients

Organizations & group practices 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104800218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296917",
            "telephone_number": "212-410-0004",
            "fax_number": "212-534-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296917",
            "telephone_number": "212-410-0004",
            "fax_number": "212-534-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHER",
        "first_name": "DAVID",
        "middle_name": "REUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "104154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.