Individual provider Active NPI

Daniel Joseph Culliford, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1295996957
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
251402 Issued in NY
Practice address
184 Kent Ave Apt B414
Brooklyn, NY 11249
Phone
(917) 572-3885
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 251402 NY Primary

Addresses

Primary practice location

184 Kent Ave Apt B414
Brooklyn, NY 11249

Mailing address

24 Stratford Rd
Harrison, NY 10528-1116

Other practice location 1

24 Stratford Rd
Harrison, NY 10528-1116
Phone (917) 572-3885

Other identifiers 1

IdentifierTypeStateIssuer
1295996957MedicaidNY

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
I20101213000494 NY Practitioner - Psychiatry 8325235682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3845 Carpenter Ave
Bronx, NY 10467-5204
Phone (917) 572-3885

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Culliford MD PC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Medical Healthcare Services P.C. Single Specialty CurrentSince Jul 1, 2013 Accepting new patients

Locations

3845 Carpenter Ave
Bronx, NY 10467
Phone (718) 269-3989

16411 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 296-7800

Organizations & group practices 2

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1295996957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STRATFORD RD",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 KENT AVE APT B414",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11249",
            "telephone_number": "917-572-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Stratford Rd",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105281116",
            "country_code": "US",
            "telephone_number": "917-572-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLIFORD",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "251402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295996957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.