Individual provider Active NPI

Anna Flattau, M.D, MSC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1326093329
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
234337 Issued in NY
Practice address
3544 Jerome Ave
Bronx, NY 10467-1005
Phone
(718) 920-2007
Fax
(718) 920-5416
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 234337 NY Primary

Addresses

Primary practice location

3544 Jerome Ave
Bronx, NY 10467-1005

Mailing address

3544 Jerome Ave
Bronx, NY 10467-1005
Phone (718) 920-2007

Other identifiers 1

IdentifierTypeStateIssuer
234337OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060605000251 NY Practitioner - Family Practice 7618988759 Reassigns benefits to 1 organization
I20211130000148 PA Practitioner - Family Practice 7618988759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

33 S 9TH St
301 Jefferson Family Medicine Assoc
Philadelphia, PA 19107-4408
Phone (215) 955-7190

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234337NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2007 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2007 Accepting new patients
Jefferson University Physicians CurrentSince Sep 20, 2021 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3544 Jerome Ave
Bronx, NY 10467
Phone (718) 920-2007

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

5141 Broadway
#3
New York, NY 10034
Phone (212) 932-4165

833 Chestnut St
Ste 301
Philadelphia, PA 19107
Phone (215) 955-2363

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326093329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671005",
            "telephone_number": "718-920-2007",
            "fax_number": "718-920-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671005",
            "telephone_number": "718-920-2007",
            "fax_number": "718-920-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATTAU",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "M.D, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "234337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.