Active NPI
Ilya Kister, M.D.
- Neurology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 241042
- Practice address
- 240 E 38TH St FL 13
New York, NY 10016-2708 - Phone
- (646) 501-7500
- NPI assigned
- Apr 2, 2007
- Last updated
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 241042 | NY | Primary |
Addresses
Primary practice location
240 E 38TH St FL 13
New York, NY 10016-2708
Mailing address
301 E 17TH St
Suite 544
New York, NY 10003-3804
Phone (212) 598-6305
Other practice location 1
301 E 17th St
Suite 544
New York, NY 10003-3804
Phone (212) 598-6305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02932543 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ikister12506@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Icahn School of Medicine at Mount Sinai, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241042 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Ny Associates in Neurology and Rehabilation | Past | Accepting new patients | |
| Lymphedema Physician Services | Past | Accepting new patients | |
| Nyumc Radiology Associates | Past | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007
200 S Orange Ave
Ste 124
Livingston, NJ 07039
Phone (973) 322-7366
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
240 E 38th St
New York, NY 10016
Phone (212) 263-6033
240 E 38th St
Fl 13
New York, NY 10016
Phone (212) 598-6500
240 E 38th St
Fl 18
New York, NY 10016
Phone (646) 501-7502
301 E 17th St
New York, NY 10003
Phone (212) 598-2454
301 E 17th St
Rm 544
New York, NY 10003
Phone (212) 598-6305
301 E 17th St
Ste 522
New York, NY 10003
Phone (212) 598-6305
301 E 17th St
Ste 544
New York, NY 10003
Phone (212) 598-6118
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ikister12506@nyumc.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Rehabilitation Hospital
- New York, NY
- NPI 1215096110
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Neurological Surgery Physician
- New York, NY
- NPI 1679699029
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962513101
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Livingston, NJ
- NPI 1891910600
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- Rehabilitation Hospital Unit
- Brooklyn, NY
- NPI 1437523537
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1659470276
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1144341983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 17TH ST",
"address_2": "SUITE 544",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-598-6305",
"fax_number": "212-598-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E 38TH ST FL 13",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162708",
"telephone_number": "646-501-7500"
}
],
"practiceLocations": [
{
"address_1": "301 E 17th St",
"address_2": "Suite 544",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100033804",
"country_code": "US",
"telephone_number": "212-598-6305",
"fax_number": "212-598-6214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISTER",
"first_name": "ILYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "241042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02932543",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ikister12506@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "240 E 38th St Fl 13",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100162708",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.