Individual provider Active NPI

Roy Bachar, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1508027715
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
249725 Issued in NY
Practice address
1425 Madison Ave
Office 5-34
New York, NY 10029-6514
Phone
(212) 659-8733
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 249725 NY Primary

Addresses

Primary practice location

1425 Madison Ave
Office 5-34
New York, NY 10029-6514

Mailing address

1425 Madison Ave
Office 5-34
New York, NY 10029-6514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100813000801 NY Practitioner - Psychiatry 9234263138 Reassigns benefits to 1 organization
I20160711001441 NJ Practitioner - Psychiatry 9234263138 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249725NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jul 5, 2016 Accepting new patients
Bachar Psychiatric Services PLLC Psychiatry CurrentSince Dec 2, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 5, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

87 State Rt 17 N
Maywood, NJ 07607
Phone (551) 996-3216

7 Macculloch Ave
Fl 2
Morristown, NJ 07960
Phone (973) 330-0001

1425 Madison Ave
Ofc 534
New York, NY 10029
Phone (212) 659-8733

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1508027715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MADISON AVE",
            "address_2": "OFFICE 5-34",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MADISON AVE",
            "address_2": "OFFICE 5-34",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296514",
            "telephone_number": "212-659-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHAR",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "249725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.