Individual provider Active NPI

Edith Schussler, MD

  • Allergy & Immunology Physician
  • New York, NY
National Provider Identifier
1124343363
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
267393-01 Issued in NY
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

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209001173 NY Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 2365679818 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267393-01NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Current Accepting new patients
Uptown Allergy & Immunology Allergy & Immunology CurrentSince Jul 10, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 23, 2013 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 23, 2013 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 11, 2014 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJICD/Endpoint/CCJICD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.