Active NPI
Orli R Etingin, MD
- Hematology & Oncology Physician
- New York, NY
National Provider Identifier
1154418234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 146398
- Practice address
- 1315 York Ave # 1
New York, NY 10021-5304 - Phone
- (212) 746-2066
- Fax
- (212) 746-3305
- NPI assigned
- Oct 9, 2006
- Last updated
- Sep 14, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 146398 | NY | Primary |
Addresses
Primary practice location
1315 York Ave # 1
New York, NY 10021-5304
Mailing address
1315 York Ave # 1
New York, NY 10021-5304
Phone (212) 746-0373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01020144 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Past | Accepting new patients |
Interoperability endpoints
- oetingin@direct.nyp.org
Organizations & group practices 1
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 Cumc Women's Healthcare
- Internal Medicine Physician
- New York, NY
- NPI 1134243652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1154418234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 YORK AVE # 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215304",
"telephone_number": "212-746-0373",
"fax_number": "212-746-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 YORK AVE # 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215304",
"telephone_number": "212-746-2066",
"fax_number": "212-746-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETINGIN",
"first_name": "ORLI",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "146398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01020144",
"state": "NY"
}
],
"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 Sep 14, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.