Active NPI
Jason Brad Price, M.D.
- Pediatric Pulmonology Physician
- New Hyde Park, NY
National Provider Identifier
1508025701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 248275
- Practice address
- 3003 New Hyde Park Road
Suite 307
New Hyde Park, NY 11042 - Phone
- (516) 488-7575
- Fax
- (516) 488-7585
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 248275 | NY | Primary |
| Pediatrics Physician | 208000000X | 248275 | NY |
Addresses
Primary practice location
3003 New Hyde Park Road
Suite 307
New Hyde Park, NY 11042
Mailing address
3003 New Hyde Park Road
Suite 307
New Hyde Park, NY 11042
Phone (516) 488-7575
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248275 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients | |
| Prohealth Care Associates LLP | Pediatrics | Past | Accepting new patients |
| Price Pediatric Pulmonology, PC | Pediatric Pulmonology | Past | Accepting new patients |
Locations
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
Philadelphia, PA 19195
Interoperability endpoints
- jprice59391@direct.optum.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
-
- Pediatric Pulmonology Physician
- New Hyde Park, NY
- NPI 1609246339
-
- Internal Medicine Physician
- Lake Success, NY
- NPI 1275596280
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1508025701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 NEW HYDE PARK ROAD",
"address_2": "SUITE 307",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-488-7575",
"fax_number": "516-488-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 NEW HYDE PARK ROAD",
"address_2": "SUITE 307",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-488-7575",
"fax_number": "516-488-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JASON",
"middle_name": "BRAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "248275",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "248275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.