Individual provider Active NPI

Neville Wayne Carmical, MD

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1447328471
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
100639 Issued in NY
Practice address
305 East 55TH St
Suite 105
New York, NY 10022-4148
Phone
(212) 755-2575
Fax
(212) 752-2865
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 100639 NY Primary

Addresses

Primary practice location

305 East 55TH St
Suite 105
New York, NY 10022-4148

Mailing address

305 East 55TH St
Suite 105
New York, NY 10022-4148
Phone (212) 755-2575

Other identifiers 1

IdentifierTypeStateIssuer
00172587MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1447328471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST 55TH ST",
            "address_2": "SUITE 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224148",
            "telephone_number": "212-755-2575",
            "fax_number": "212-752-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAST 55TH ST",
            "address_2": "SUITE 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224148",
            "telephone_number": "212-755-2575",
            "fax_number": "212-752-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICAL",
        "first_name": "NEVILLE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "100639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00172587",
            "state": "NY"
        }
    ],
    "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 Jul 19, 2010; 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.