Active NPI
Paul Ackerman, MD
- Orthopaedic Surgery Physician
- Brooklyn, NY
National Provider Identifier
1306899786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 138111
- Practice address
- 3500 Nostrand Ave
Brooklyn, NY 11229-5107 - Phone
- (718) 338-0909
- Fax
- (718) 338-0909
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 138111 | NY | Primary |
Addresses
Primary practice location
3500 Nostrand Ave
Brooklyn, NY 11229-5107
Mailing address
3500 Nostrand Ave
Brooklyn, NY 11229-5107
Phone (718) 338-0909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00835965 | Medicaid | NY | |
| 542G31 | Other | NY | BLUE CROSS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star Medical PC | Orthopaedic Surgery | Past | Accepting new patients |
| Suny Downstate Medical Center | Past | Accepting new patients | |
| Northstar Medical PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1518910207
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1053364653
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1306899786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295107",
"telephone_number": "718-338-0909",
"fax_number": "718-338-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295107",
"telephone_number": "718-338-0909",
"fax_number": "718-338-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "138111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00835965",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "542G31",
"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 Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.