Individual provider Active NPI

Joel H Selter, M.D.

  • Specialist
  • Suffern, NY
National Provider Identifier
1174526016
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
163236 Issued in NY
Practice address
222 Route 59
Ste 109
Suffern, NY 10901-5207
Phone
(845) 357-7277
Fax
(845) 357-5516
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 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 163236 NY Primary

Addresses

Primary practice location

222 Route 59
Ste 109
Suffern, NY 10901-5207

Mailing address

222 Route 59
Ste 109
Suffern, NY 10901-5207
Phone (845) 357-7277

Other identifiers 1

IdentifierTypeStateIssuer
01197759MedicaidNY

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
I20100310000237 NY Practitioner - Allergy/Immunology 8628001021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

222 Route 59
Suite 205
Suffern, NY 10901-5206
Phone (845) 357-7277

505 State Route 208
Suite 21
Monroe, NY 10950-1607
Phone (845) 782-0882

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Care of Rockland, P.C. Specialist CurrentSince Oct 1, 1994 Accepting new patients
Hudson Valley Neurosurgical Associates, LLC Specialist PastSince Oct 1, 2016 Accepting new patients

Locations

505 State Route 208
Ste 21
Monroe, NY 10950
Phone (845) 782-0882

222 Route 59
Ste 109
Suffern, NY 10901
Phone (845) 357-7277

222 Route 59
Ste 205
Suffern, NY 10901
Phone (845) 357-7277

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGBIAA/Endpoint/GGBIAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1174526016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59",
            "address_2": "STE 109",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015207",
            "telephone_number": "845-357-7277",
            "fax_number": "845-357-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59",
            "address_2": "STE 109",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015207",
            "telephone_number": "845-357-7277",
            "fax_number": "845-357-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTER",
        "first_name": "JOEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "163236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01197759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.