Individual provider Active NPI

Omayra Ortiz, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1124068853
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
227463 Issued in NY
Practice address
10 Nathan D Perlman PL FL 2
Room #14
New York, NY 10003-3851
Phone
(212) 844-1912
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 227463 NY Primary

Addresses

Primary practice location

10 Nathan D Perlman PL FL 2
Room #14
New York, NY 10003-3851

Mailing address

10 Nathan D Perlman PL FL 2
Room #14
New York, NY 10003-3851
Phone (212) 844-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20131011001556 NJ Practitioner - Geriatric Psychiatry 3476573510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Psychiatric Consultants, LLCGroup PAC ID 7315077120, 6 clinicians

Practice addresses (Care Compare)

6000 Washington St
West New York, NJ 07093-1420
Phone (201) 864-4897

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Associates, LLC Psychiatry CurrentSince Oct 28, 2015 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 1, 2015 Accepting new patients
Psychiatry on Video LLC Psychiatry CurrentSince Oct 26, 2023 Accepting new patients
Premier Psychiatric Consultants LLC CurrentSince Aug 15, 2022 Accepting new patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients
Beth Israel Medical Center PastSince Sep 4, 2007 Accepting new patients

Locations

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

65 Harristown Rd
Ste 1
Glen Rock, NJ 07452

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

235 Prospect Ave
Ste Lf
Hackensack, NJ 07601
Phone (201) 489-0099

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1124068853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NATHAN D PERLMAN PL FL 2",
            "address_2": "ROOM #14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033851",
            "telephone_number": "212-844-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NATHAN D PERLMAN PL FL 2",
            "address_2": "ROOM #14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033851",
            "telephone_number": "212-844-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "OMAYRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "227463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.