Individual provider Active NPI

Louis Daniel Neistadt, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1194825455
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
119859 Issued in NY
Practice address
400 East 66TH Street
New York, NY 10021
Phone
(212) 838-4243
Fax
(212) 838-7370
NPI assigned
Sep 25, 2006
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 119859 NY
Diagnostic Radiology Physician 2085R0202X 119859 NY Primary

Addresses

Primary practice location

400 East 66TH Street
New York, NY 10021

Mailing address

400 East 66TH Street
New York, NY 10021
Phone (212) 838-4243

Other identifiers 1

IdentifierTypeStateIssuer
3263859OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040525000190 NY Practitioner - Diagnostic Radiology 1951382282 Reassigns benefits to 1 organization
I20200618001647 FL Practitioner - Diagnostic Radiology 1951382282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

315 W 57TH St
Suite LL4
New York, NY 10019-3149
Phone (212) 698-5300

3200 N Ocean Blvd
Apt 2406
Fort Lauderdale, FL 33308-7168
Phone (585) 218-8002

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119859NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Sep 11, 2013 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

400 E 66th St
New York, NY 10065
Phone (212) 838-4243

Organizations & group practices 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1194825455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST 66TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-838-4243",
            "fax_number": "212-838-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST 66TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-838-4243",
            "fax_number": "212-838-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISTADT",
        "first_name": "LOUIS",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "119859",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "119859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3263859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.