Active NPI
Michael I Resnick Sr., MD
- Orthopaedic Surgery Physician
- Airmont, NY
National Provider Identifier
1386636058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 086369
- Practice address
- 327 Route 59
Airmont, NY 10952 - Phone
- (845) 356-2900
- Fax
- (845) 356-7797
- NPI assigned
- Aug 18, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 086369 | NY | Primary |
Addresses
Primary practice location
327 Route 59
Airmont, NY 10952
Mailing address
327 Route 59
Airmont, NY 10952
Phone (845) 356-2900
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014638 | Other | NY | AETNA HMO# |
| 570F13 | Other | NY | EMPIRE BCBS (AIRMONT) |
| 391733 | Other | NY | MVP (AIRMONT/STONY POINT) |
| 570F11 | Other | NY | EMPIRE BCBS (STONY POINT) |
| 00133739 | Medicaid | NY | |
| 570F12 | Other | NY | EMPIRE BCBS (MONROE) |
| 0039141 | Other | NY | GHI PPO |
| 0D0562 | Other | NY | HEALTHNET |
| 391734 | Other | NY | MVP (MONROE) |
| RS358 | Other | NY | OXFORD |
| 4413534 | Other | NY | AETNA PPO# |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086369 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Orthopedics and Sports Medicine PC | Past | Accepting new patients | |
| Flowing Physical Therapy PLLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Monsey, NY
- NPI 1437561065
-
- Specialist
- Airmont, NY
- NPI 1346257979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1386636058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 ROUTE 59",
"city": "AIRMONT",
"state": "NY",
"postal_code": "10952",
"telephone_number": "845-356-2900",
"fax_number": "845-356-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 ROUTE 59",
"city": "AIRMONT",
"state": "NY",
"postal_code": "10952",
"telephone_number": "845-356-2900",
"fax_number": "845-356-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNICK",
"first_name": "MICHAEL",
"middle_name": "I",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "086369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO#",
"identifier": "0014638",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS (AIRMONT)",
"identifier": "570F13",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP (AIRMONT/STONY POINT)",
"identifier": "391733",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS (STONY POINT)",
"identifier": "570F11",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00133739",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS (MONROE)",
"identifier": "570F12",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0039141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0D0562",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP (MONROE)",
"identifier": "391734",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "RS358",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO#",
"identifier": "4413534",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.