Individual provider Active NPI

Serge Sevy, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1245394204
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
199003 Issued in NY
Practice address
757 3Rd Ave FL 20
New York, NY 10017-2046
Phone
(917) 251-6498
Fax
(212) 861-1584
NPI assigned
Dec 21, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 199003 NY Primary

Addresses

Primary practice location

757 3Rd Ave FL 20
New York, NY 10017-2046

Mailing address

757 3Rd Ave FL 20
New York, NY 10017-2046
Phone (917) 251-6498

Other identifiers 1

IdentifierTypeStateIssuer
01653938MedicaidNY

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
I20040130000067 NY Practitioner - Psychiatry 1254234883 Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199003NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Behavioral Health Research PC Past Accepting new patients
Aurora Concept Inc Past Accepting new patients
Hudson Valley Psychiatric Associates LLC Psychiatry Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDGAD

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, 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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1245394204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 3RD AVE FL 20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172046",
            "telephone_number": "917-251-6498",
            "fax_number": "212-861-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 3RD AVE FL 20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172046",
            "telephone_number": "917-251-6498",
            "fax_number": "212-861-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVY",
        "first_name": "SERGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "199003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.