Individual provider Active NPI

Daniel Bryan Rush, MD

  • Student in an Organized Health Care Education/Training Program
  • Carmel Hamlet, NY
National Provider Identifier
1487282950
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Putnam Hospital Center
660 Stonrlrigh Avenue
Carmel Hamlet, NY 10512
Phone
(845) 278-5641
NPI assigned
Mar 31, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

Putnam Hospital Center
660 Stonrlrigh Avenue
Carmel Hamlet, NY 10512

Mailing address

Putnam Hospital Center
670 Stoneleigh Avenue
Carmel Hamlet, NY 10512
Phone (845) 278-5641

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125003587 NY Practitioner - Psychiatry 3870028079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Montefiore Mount Vernon HospitalGroup PAC ID 7810122231, 18 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 378-6148

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Sep 14, 2024 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1487282950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PUTNAM HOSPITAL CENTER",
            "address_2": "670 STONELEIGH AVENUE",
            "city": "CARMEL HAMLET",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "845-278-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUTNAM HOSPITAL CENTER",
            "address_2": "660 STONRLRIGH AVENUE",
            "city": "CARMEL HAMLET",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "845-278-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "DANIEL",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel Hamlet, NY

Sources for this page

Verify at the official NPI Registry.