Individual provider Active NPI

Dragos M Serseni, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1508898040
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
207615 Issued in NY
Practice address
317 E 17TH St
Beth Israel Medical Center, Fierman Hall, Suite 5F06
New York, NY 10003-3804
Phone
(212) 844-1455
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 207615 NY Primary
Psychiatry Physician 2084P0800X 25MA08565300 NJ

Addresses

Primary practice location

317 E 17TH St
Beth Israel Medical Center, Fierman Hall, Suite 5F06
New York, NY 10003-3804

Mailing address

243A 2ND St
Jersey City, NJ 07302-5838
Phone (201) 418-9364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08565300NJMDPsychiatry Physician
207615NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bimc Faculty Practice Psychiatry Past Accepting new patients
Beth Israel Medical Center Psychiatry Past Accepting new patients
Darmoxa Medical Services PLLC Psychiatry PastSince Feb 1, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1508898040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243A 2ND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025838",
            "telephone_number": "201-418-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 17TH ST",
            "address_2": "BETH ISRAEL MEDICAL CENTER, FIERMAN HALL, SUITE 5F06",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-844-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERSENI",
        "first_name": "DRAGOS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "207615",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08565300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.