NPIMap

Individual provider Active NPI

Nancy Bach, MD

  • Hepatology Physician
  • New York, NY
National Provider Identifier
1477571115
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
165380 Issued in NY
Practice address
5 E 98TH St
12TH FL
New York, NY 10029-6501
Phone
(212) 241-8035
Fax
(212) 241-2064
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 165380 NY
Hepatology Physician 207RI0008X 165380 NY Primary
Transplant Surgery Physician 204F00000X 165380 NY

Addresses

Primary practice location

5 E 98TH St
12TH FL
New York, NY 10029-6501

Mailing address

1 Gustave L Levy PL
Box 1104
New York, NY 10029-6500
Phone (212) 241-8035

Other identifiers 2

IdentifierTypeStateIssuer
7874600MedicaidNJ
01322527MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040421001809 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4981690302 Reassigns benefits to 1 organization
I20110217000338 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 4981690302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Gustave L Levy PL (KCC
New York, NY 10029-6508
Phone (212) 241-8545

1450 Madison Ave
New York, NY 10029-6508
Phone (212) 241-8545

350 Engle St
Englewood, NJ 07631-1898
Phone (201) 894-3960

5 E 98TH St
New York, NY 10029-6501

5 E 98TH St Box
Suite 1263
New York, NY 10029-6501
Phone (212) 241-8545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Transplant Surgery CurrentSince Jul 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 27, 2013 Accepting new patients

Locations

117 Highway 35
Ste 1
Eatontown, NJ 07724

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

275 7th Ave
Fl 12
New York, NY 10001
Phone (212) 604-1701

5 E 98th St
Fl 11
New York, NY 10029
Phone (212) 241-4299

5 E 98th St
#1173
New York, NY 10029
Phone (212) 427-9898

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1477571115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-8035",
            "fax_number": "212-241-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "12TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-8035",
            "fax_number": "212-241-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "165380",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NY",
            "license": "165380",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "165380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7874600",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01322527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.