Individual provider Active NPI

Andres Felipe Ramirez Zamudio

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1316301674
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
304720 Issued in NY
Practice address
1 Gustave L Levy PL
New York, NY 10029-6504
Phone
(212) 241-6500
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 304720 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029-6504

Mailing address

51 E 97TH St Apt 6B
New York, NY 10029-7057
Phone (786) 426-9251

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
I20201029001991 NY Practitioner - Obstetrics/Gynecology 0941531636 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304720NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Sep 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2020 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients

Locations

3712 82nd St
Ste 2
Jackson Heights, NY 11372
Phone (718) 879-1600

3722 82nd St
Jackson Hts, NY 11372
Phone (718) 779-1600

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
#10
New York, NY 10017

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

520 Main St
Roosevelt Island, NY 10044
Phone (212) 832-2310

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • 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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1316301674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 97TH ST APT 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297057",
            "telephone_number": "786-426-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ ZAMUDIO",
        "first_name": "ANDRES",
        "middle_name": "FELIPE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "304720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.