Individual provider Active NPI

Joseph Mulvehill, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1164514139
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216111 Issued in NY
Practice address
10 E 78TH St Ste 1B
New York, NY 10075-1731
Phone
(212) 737-3136
Fax
(212) 737-3481
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216111 NY Primary

Addresses

Primary practice location

10 E 78TH St Ste 1B
New York, NY 10075-1731

Mailing address

127 East 61St Street
GFL
New York, NY 10065-9006
Phone (212) 737-3136

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
I20051227000428 NY Practitioner - Internal Medicine 7810919388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 E 61St St
New Yok, NY 10065-9006
Phone (212) 737-3136

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216111NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Concierge Medicine PC CurrentSince Jan 27, 2013 Accepting new patients

Locations

10 E 78th St
#1B
New York, NY 10075
Phone (212) 737-3136

10 E 78th St
Ste 1B
New York, NY 10075
Phone (212) 737-3136

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1164514139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EAST 61ST STREET",
            "address_2": "GFL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100659006",
            "telephone_number": "212-737-3136",
            "fax_number": "212-737-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 78TH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751731",
            "telephone_number": "212-737-3136",
            "fax_number": "212-737-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEHILL",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.