NPIMap

Individual provider Active NPI

Sylvie Destian, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1184659203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
160733 Issued in NY
Practice address
170 W 12TH St
Link 217
New York, NY 10011-8202
Phone
(212) 604-8748
Fax
(212) 604-2929
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 160733 NY Primary

Addresses

Primary practice location

170 W 12TH St
Link 217
New York, NY 10011-8202

Mailing address

470 W 24TH St
8G
New York, NY 10011-1205
Phone (212) 604-8748

Other identifiers 1

IdentifierTypeStateIssuer
1977820MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000480 NY Practitioner - Diagnostic Radiology 0648281238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132

42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160733NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology Associates, LLP Diagnostic Radiology CurrentSince Feb 28, 2011 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 5, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 5, 2022 Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Saint Vincents Hospital and Medical Center Diagnostic Radiology Past Accepting new patients
West Side Radiology Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184659203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W 24TH ST",
            "address_2": "8G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111205",
            "telephone_number": "212-604-8748",
            "fax_number": "212-604-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 12TH ST",
            "address_2": "LINK 217",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118202",
            "telephone_number": "212-604-8748",
            "fax_number": "212-604-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTIAN",
        "first_name": "SYLVIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "160733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.