Active NPI
Michael James Geraghty, M.D.
- Hematology & Oncology Physician
- Brooklyn, NY
National Provider Identifier
1215937180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 105344
- Practice address
- 9920 4TH Ave
Brooklyn, NY 11209-8333 - Phone
- (718) 833-0215
- Fax
- (718) 833-0372
- NPI assigned
- Jul 21, 2005
- Last updated
- Feb 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 105344 | NY | Primary |
Addresses
Primary practice location
9920 4TH Ave
Brooklyn, NY 11209-8333
Mailing address
9920 4TH Ave
Brooklyn, NY 11209-8333
Phone (718) 833-0215
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00399871 | Medicaid | NY | |
| 565562 | Other | NY | EMPIRE BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105344 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Brooklyn | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Suny DMC@Lich-Emergency Medicine
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1386942555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1215937180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098333",
"telephone_number": "718-833-0215",
"fax_number": "718-833-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098333",
"telephone_number": "718-833-0215",
"fax_number": "718-833-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAGHTY",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "105344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00399871",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "565562",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.