Active NPI
Karl Dormesy, MD
- Psychiatry Physician
- Rego Park, NY
National Provider Identifier
1417033184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 168014
- Practice address
- 9729 64TH Rd
Rego Park, NY 11374-2240 - Phone
- (718) 896-3400
- Fax
- (718) 459-5621
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 168014 | NY | Primary |
Addresses
Primary practice location
9729 64TH Rd
Rego Park, NY 11374-2240
Mailing address
27 Marietta Dr
Westbury, NY 11590-1115
Phone (516) 642-5973
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Long Island Consultation Center, Inc. | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Long Island Consultation Center | Past | Accepting new patients |
Locations
9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/
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.
-
- Clinical Social Worker
- Elmhurst, NY
- NPI 1295878577
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1487698544
-
- Counselor
- Elmhurst, NY
- NPI 1356016703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417033184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MARIETTA DR",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901115",
"telephone_number": "516-642-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9729 64TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742240",
"telephone_number": "718-896-3400",
"fax_number": "718-459-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMESY",
"first_name": "KARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "168014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.