Active NPI
Jeffrey Ainspan M.D., P.C.
- Procedural Dermatology Physician
- New York, NY
National Provider Identifier
1538138409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 155051
- Legal business name
- JEFFREY AINSPAN M.D., P.C.
- Practice address
- 308A E 15TH St
New York, NY 10003-4001 - Phone
- (212) 505-5790
- Fax
- (212) 505-6511
- NPI assigned
- Mar 14, 2006
- Last updated
- May 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ellie Ainspan
- Title
- Office Manager
- Phone
- (201) 788-5272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 155051 | NY | Primary |
Addresses
Primary practice location
308A E 15TH St
New York, NY 10003-4001
Mailing address
72 Eileen Dr
Mahwah, NJ 07430-2806
Phone (201) 327-8704
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000003251 | Other | AFFINITY | |
| 155051-H20 | Other | HEALTHFIRST | |
| 990121 | Other | CIGNA | |
| 155051 | Other | HIP | |
| 70D571 | Other | EMPIRE BCBS | |
| P852474 | Other | OXFORD | |
| 000000092884 | Other | GHI HMO | |
| 0014933 | Other | GHI PPO | |
| AINSJ064 | Other | GREAT WEST ONE HEALTHPLAN | |
| 11112286 | Other | MULTIPLAN | |
| 4C5623 | Other | HEALTHNET | |
| 171185 | Other | ELDERPLAN | |
| 5317347 | Other | AETNA PPO | |
| 2340394 | Other | AETNA HMO | |
| 31496 | Other | HIP CMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- New York, NY
- NPI 1578541207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1538138409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 EILEEN DR",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302806",
"telephone_number": "201-327-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308A E 15TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034001",
"telephone_number": "212-505-5790",
"fax_number": "212-505-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY AINSPAN M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "AINSPAN",
"authorized_official_first_name": "ELLIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "201-788-5272",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "155051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000003251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "155051-H20",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "990121",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "155051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "70D571",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P852474",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000092884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0014933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST ONE HEALTHPLAN",
"identifier": "AINSJ064",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "11112286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C5623",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "171185",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5317347",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2340394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP CMO",
"identifier": "31496",
"state": null
}
],
"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 May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.