Active NPI
Samuel Altstein, D.O,
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210893
- Practice address
- 202 W 23Rd St
New York, NY 10011-2301 - Phone
- (212) 352-2600
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 210893 | NY | Primary |
Addresses
Primary practice location
202 W 23Rd St
New York, NY 10011-2301
Mailing address
PO Box 95000-2454
Philadelphia, PA 19195-2454
Phone (212) 352-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02008280 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040713001098 | NY | Practitioner - Family Practice | 9537147731 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210893 | NY | MD | Family Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Family Medicine | Current | Accepting new patients |
| Inner Imaging, PC | Past | Accepting new patients | |
| Docs Physicians Affiliated With Bimc | Family Medicine | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
202 W 23rd St
#204
New York, NY 10011
309 W 23rd St
#2
New York, NY 10011
Phone (212) 256-7000
202 W 23rd St
New York, NY 10011
Phone (212) 523-7780
150 E 42nd St
#5
New York, NY 10017
Phone (212) 523-5898
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
55 E 34th St
Fl 5
New York, NY 10016
Phone (212) 252-6005
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
Family Medicine, NY
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Practice Physician
- New York, NY
- NPI 1821016692
Family Medicine
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- Nuclear Cardiology Physician
- New York, NY
- NPI 1780806307
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1295793933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2454",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952454",
"telephone_number": "212-352-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W 23RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100112301",
"telephone_number": "212-352-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTSTEIN",
"first_name": "SAMUEL",
"credential": "D.O,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "210893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02008280",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.