Active NPI
Andrew Wint Pearson, M.D.
- Child & Adolescent Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 247882-1
- Practice address
- 1 Gustave L Levy PL
Mount Sinai Hospital
New York, NY 10029-6500 - Phone
- (212) 241-6937
- NPI assigned
- May 23, 2007
- Last updated
- Jan 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 247882-1 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 247882-1 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
Mount Sinai Hospital
New York, NY 10029-6500
Mailing address
520 E 86TH St Apt 2B
New York, NY 10028-7534
Phone (267) 241-5008
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247882-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Jewish Board of Family and Children's Services, Inc. | Current | Accepting new patients | |
| Jewish Board of Family and Children's Services, Inc | Current | Accepting new patients | |
| Jewish Board of Family and Children's Services, Inc | Past | Accepting new patients |
Locations
3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1821273459
-
dba The Jewish Board
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
-
- Intellectual Disabilities Intermediate Care Facility
- New York, NY
- NPI 1295910826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1174733661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 86TH ST APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287534",
"telephone_number": "267-241-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "MOUNT SINAI HOSPITAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "212-241-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "ANDREW",
"middle_name": "WINT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "247882-1",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "247882-1",
"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 Jan 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.