Individual provider Active NPI

Ilana Prior Redmond, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1205281326
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
299440 Issued in NY
Practice address
148 E 38TH St
New York, NY 10016-2607
Phone
(844) 359-8363
Fax
(833) 955-3592
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11341000 NJ
Internal Medicine Physician 207R00000X 0101277557 VA
Internal Medicine Physician 207R00000X 70153 CT
Medical Specialty Clinic/Center 261QM2500X 1992372403 NJ
Medical Specialty Clinic/Center 261QM2500X 1043889967 NY
Medical Specialty Clinic/Center 261QM2500X 1992372403 CT
Internal Medicine Physician 207R00000X 299440 NY Primary

Addresses

Primary practice location

148 E 38TH St
New York, NY 10016-2607

Mailing address

34 Greenview Way
Montclair, NJ 07043-2532
Phone (203) 610-4840

Other practice location 1

69 Grove St
New Canaan, CT 06840-5325
Phone (844) 359-8363

Other practice location 2

500 W Main St Ste 16
Wyckoff, NJ 07481-1406
Phone (844) 359-8363

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
I20200904001789 NY Practitioner - Internal Medicine 7911324975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70153CTMDInternal Medicine Physician
25MA11341000NJMDInternal Medicine Physician
299440NYMDInternal Medicine Physician
0101277557VAMDInternal Medicine Physician
1992372403CTMDMedical Specialty Clinic/Center
1992372403NJMDMedical Specialty Clinic/Center
1043889967NYMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 4, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 4, 2020 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell Internal Medicine CurrentSince Oct 21, 2020 Accepting new patients

Locations

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
Rm F20
New York, NY 10065
Phone (212) 746-6290

505 E 70th St
New York, NY 10021
Phone (212) 746-2900

1300 York Ave
New York, NY 10065
Phone (212) 746-2900

Networks

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

Interoperability endpoints

  • Direct secure messaging: ilana.redmond.1@25522.direct.athenahealth.com
  • Direct secure messaging: imp9005@direct.nyp.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1205281326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREENVIEW WAY",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432532",
            "telephone_number": "203-610-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162607",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Grove St",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068405325",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Main St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074811406",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "ILANA",
        "middle_name": "PRIOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11341000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101277557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "70153",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "1992372403",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "1043889967",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "1992372403",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "299440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.