Active NPI
Edith Schussler, MD
- Allergy & Immunology Physician
- New York, NY
National Provider Identifier
1124343363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 267393-01
- Practice address
- 1440 York Ave Ofc P10
New York, NY 10075-2577 - Phone
- (646) 470-5747
- Fax
- (646) 777-1794
- NPI assigned
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 267393-01 | NY | Primary |
Addresses
Primary practice location
1440 York Ave Ofc P10
New York, NY 10075-2577
Mailing address
261 W 112TH St Apt 6D
New York, NY 10026-3553
Phone (646) 470-5747
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267393-01 | NY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Uptown Allergy & Immunology | Allergy & Immunology | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients |
Locations
525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558
1440 York Ave
Ofc P10
New York, NY 10075
Phone (212) 772-0010
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCJICD/Endpoint/CCJICD
- eds9051@direct.nyp.org
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1124170212
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1245355270
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1730812975
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Emergency Medicine Physician
- New York, NY
- NPI 1205882586
-
- Pediatrics Physician
- New York, NY
- NPI 1629018205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1124343363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 W 112TH ST APT 6D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263553",
"telephone_number": "646-470-5747",
"fax_number": "646-777-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 YORK AVE OFC P10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100752577",
"telephone_number": "646-470-5747",
"fax_number": "646-777-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSSLER",
"first_name": "EDITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "267393-01",
"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 Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.