Individual provider Active NPI

Joseph Ghassibi, MD

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1164501391
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
168952 Issued in NY
Practice address
374 W 125TH St.
New York, NY 10027-4820
Phone
(212) 749-7960
Fax
(212) 663-7235
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 168952 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 168952 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 168952 NY
Pulmonary Disease Physician 207RP1001X 168952 NY Primary

Addresses

Primary practice location

374 W 125TH St.
New York, NY 10027-4820

Mailing address

374 W 125TH St.
New York, NY 10027-4820
Phone (212) 749-7960

Other identifiers 1

IdentifierTypeStateIssuer
01092057MedicaidNY

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
I20091003000002 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2264578384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

100 TH St and Madison Ave
New York, NY 10029-6501
Phone (212) 731-6870

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-9410

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-9410

1190 GP 6TH Floor
Pcicu GP 6TH Floor
New York, NY 10029-6501
Phone (212) 731-6870

200 Old Country Rd
Mineola, NY 11501-4235
Phone (516) 877-0977

440 W 114TH St
New York, NY 10025-1796
Phone (212) 523-8672

5 E 98TH St
New York, NY 10029-6501
Phone (212) 241-9410

Hospital & facility affiliations

  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168952NYMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Critical Care Medicine CurrentSince Nov 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Yevgeny Azrieli, MD, PC Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients

Locations

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1090 Amsterdam Ave
#5A
New York, NY 10025
Phone (212) 749-7960

1090 Amsterdam Ave
Ste 5A
New York, NY 10025
Phone (212) 749-7960

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

425 W 59th St
Ste 9C
New York, NY 10019
Phone (212) 492-5550

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

374 W 125th St
New York, NY 10027
Phone (212) 280-3101

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1164501391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 W 125TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274820",
            "telephone_number": "212-749-7960",
            "fax_number": "212-663-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 W 125TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274820",
            "telephone_number": "212-749-7960",
            "fax_number": "212-663-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASSIBI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168952",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "168952",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "168952",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "168952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01092057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.