Individual provider Active NPI

Jeremy N Alster

  • Specialist
  • New York, NY
National Provider Identifier
1154671345
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
558821 Issued in NY
Practice address
249 W 101St St
Apt 4
New York, NY 10025-4991
Phone
(212) 496-6414
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 558821 NY Primary

Addresses

Primary practice location

249 W 101St St
Apt 4
New York, NY 10025-4991

Mailing address

249 W 101St St
Apt 4
New York, NY 10025-4991
Phone (212) 496-6414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
558821NYMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1154671345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W 101ST ST",
            "address_2": "APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254991",
            "telephone_number": "212-496-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W 101ST ST",
            "address_2": "APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254991",
            "telephone_number": "212-496-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTER",
        "first_name": "JEREMY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "558821",
            "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 Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.