Neil Bruce Ackerman, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

111899-2 Issued in NY

Practice address

13 N Fulton St
Auburn, NY 13021-2703

Phone

(315) 255-1171

Fax

(315) 252-7801

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nackerman@hiemail.healtheconnections.org

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.

• Docs Physicians Affiliated With Bimc

  • General Practice Physician
  • New York, NY
  • NPI 1821016692
  NPD (past)
• East Hill Family Medical, Inc.

  • Family Medicine Physician
  • Auburn, NY
  • NPI 1740074673
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437198520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 N FULTON ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212703",
            "telephone_number": "315-255-1171",
            "fax_number": "315-252-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N FULTON ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212703",
            "telephone_number": "315-255-1171",
            "fax_number": "315-252-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "NEIL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "111899-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01848273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bahgat Hamdi Abdelaziz, P.A.
• Diane F Abraham, RN
• Access to Home Care Services Inc.
• Active Physical Therapy Solutions PC
• Jennifer Lynn Adamski, L.AC., LMT
• Maria Aiello, DMD
• Daniel Alexander, MD
• James W. Alexander, M.D.

• All providers in Auburn, NY
• Pediatric Adolescent Medicine Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.