Organization Active NPI

Nye Medical Services PC

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1245338573
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NYE MEDICAL SERVICES PC
Practice address
1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone
(718) 515-3500
Fax
(718) 405-3806
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Jerome H Levy, MD
Title
Surgeon Director
Phone
(718) 519-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X NY
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1101 Pelham Pkwy N
Bronx, NY 10469-5411

Mailing address

1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone (718) 515-3500

Other identifiers 2

IdentifierTypeStateIssuer
02143722MedicaidNY
CH2107OtherPALMETTO GBA RRMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001672 NY Part B Supplier - Clinic/Group Practice 0345132221 Receives reassigned benefits from 2 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1245338573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695411",
            "telephone_number": "718-515-3500",
            "fax_number": "718-405-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695411",
            "telephone_number": "718-515-3500",
            "fax_number": "718-405-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SURGEON DIRECTOR",
        "authorized_official_telephone_number": "718-519-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02143722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RRMEDICARE",
            "identifier": "CH2107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.