Individual provider Active NPI

Gail Lutz Meisel, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1508977521
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
109978 Issued in NY
Practice address
1170 5TH Ave
PH-a
New York, NY 10029-6527
Phone
(212) 722-5800
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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 109978 NY Primary

Addresses

Primary practice location

1170 5TH Ave
PH-a
New York, NY 10029-6527

Mailing address

1170 5TH Ave
PH-a
New York, NY 10029-6527
Phone (212) 722-5800

Other identifiers 1

IdentifierTypeStateIssuer
150540328MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109978NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1508977521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 5TH AVE",
            "address_2": "PH-A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296527",
            "telephone_number": "212-722-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 5TH AVE",
            "address_2": "PH-A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296527",
            "telephone_number": "212-722-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISEL",
        "first_name": "GAIL",
        "middle_name": "LUTZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "109978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150540328",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.