Organization Active NPI

Multiple Sclerosis Medical Practice of New York PC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1437435211
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MULTIPLE SCLEROSIS MEDICAL PRACTICE OF NEW YORK PC
Practice address
521 W 57TH Street, 4TH Floor
New York, NY 10019-2929
Phone
(212) 265-8070
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Sylvie Destian, M.D.
Title
Medical Director
Phone
(212) 265-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

521 W 57TH Street, 4TH Floor
New York, NY 10019-2929

Mailing address

521 W 57TH Street, 4TH Floor
New York, NY 10019-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120626000279 NY Part B Supplier - Clinic/Group Practice 9133384183 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Multiple Sclerosis Medical Practice of New York PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1437435211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W 57TH STREET, 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 57TH STREET, 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192929",
            "telephone_number": "212-265-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIPLE SCLEROSIS MEDICAL PRACTICE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "DESTIAN",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-265-8070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.