Individual provider Active NPI

Albert Attia

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1548275944
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
90108 Issued in NY
Practice address
350 W 58TH St
New York, NY 10019-1804
Phone
(212) 307-7210
Fax
(212) 765-4712
NPI assigned
Jul 31, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 90108 NY Primary

Addresses

Primary practice location

350 W 58TH St
New York, NY 10019-1804

Mailing address

350 W 58TH St
New York, NY 10019-1804
Phone (212) 307-7210

Other identifiers 1

IdentifierTypeStateIssuer
00142241MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000135 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 8628123130 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
090108NYMDSocial Worker
90108NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albert a. Attia MD PC Gastroenterology CurrentSince Jan 17, 2012 Accepting new patients
SLR FPP University Medical Practice Associates Gastroenterology Past Accepting new patients

Locations

350 W 58th St
New York, NY 10019
Phone (212) 246-9101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1548275944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191804",
            "telephone_number": "212-307-7210",
            "fax_number": "212-765-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191804",
            "telephone_number": "212-307-7210",
            "fax_number": "212-765-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIA",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "90108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.