Individual provider Active NPI

Punam Dass, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1205265840
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
24897138 Issued in NY
Practice address
1000 10TH Ave
10TH Floor 10G-69
New York, NY 10019-1147
Phone
(212) 636-3236
NPI assigned
Nov 4, 2013
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 24897138 NY Primary

Addresses

Primary practice location

1000 10TH Ave
10TH Floor 10G-69
New York, NY 10019-1147

Mailing address

1000 10TH Ave
10TH Floor 10G-69
New York, NY 10019-1147
Phone (212) 636-3236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ, DE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140731002758 NY Practitioner - Neurology 7113141714 Reassigns benefits to 5 organizations
I20201130002815 CT Practitioner - Neurology 7113141714 Reassigns benefits to 1 organization
I20221215002460 NJ Practitioner - Neurology 7113141714 Reassigns benefits to 1 organization
I20250131001776 DE Practitioner - Neurology 7113141714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (212) 241-4572

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

97 W Pkwy
2ND Floor
Pompton Plains, NJ 07444-1647
Phone (973) 831-5063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24897138NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Neurology CurrentSince Feb 10, 2023 Accepting new patients
Christiana Care Health Services, Inc Neurology CurrentSince Nov 22, 2024 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Oct 12, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Feb 10, 2023 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Nov 22, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Neurology CurrentSince Aug 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 21, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Nov 22, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Feb 21, 2020 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Department of Neurology Professional Services Group/Slrhc Neurology Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

75 Holly Hill Ln
Ste 202
Greenwich, CT 06830
Phone (203) 276-4255

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

29 Hospital Plz
Ste 602
Stamford, CT 06902
Phone (203) 276-2451

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 2E99
Newark, DE 19718
Phone (302) 623-3017

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

111 E 210th St
Bronx, NY 10467

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

1000 10th Ave
Fl 10G69
New York, NY 10019
Phone (212) 636-3236

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

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

15 N Broadway
Fl 2
White Plains, NY 10601
Phone (212) 523-7621

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA
  • Direct secure messaging: pdass@montefioredirect.com
  • Direct secure messaging: pdass234393@direct.cshs.org
  • Direct secure messaging: pdass24703@stamfordhealth.direct-ci.com
  • Direct secure messaging: pdass643361@direct.ynhh.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 11

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1205265840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "10TH FLOOR 10G-69",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "10TH FLOOR 10G-69",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASS",
        "first_name": "PUNAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "24897138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.