Active NPI
Elliot Jay Riegelhaupt, M.D..
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1548338510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 134332
- Practice address
- 755 Park Ave
New York, NY 10021-4255 - Phone
- (212) 439-6638
- Fax
- (212) 794-9229
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 134332 | NY | Primary |
Addresses
Primary practice location
755 Park Ave
New York, NY 10021-4255
Mailing address
755 Park Ave
New York, NY 10021-4255
Phone (212) 439-6638
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00767762 | Medicaid | NY | |
| NS3215 | Other | NY | OXFORD HEALTH PLAN |
| 68A921 | Other | NY | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041111000643 | NY | Practitioner - Internal Medicine | 5698738425 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1976
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
35 TH E 85TH St
New York, NY 10028-0954
Phone (212) 439-6638
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134332 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Consultants of Ny PC | Past | Accepting new patients | |
| Zachary T. Bloomgarden MD PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1710042205
-
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
- NPI 1366767014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548338510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214255",
"telephone_number": "212-439-6638",
"fax_number": "212-794-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214255",
"telephone_number": "212-439-6638",
"fax_number": "212-794-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEGELHAUPT",
"first_name": "ELLIOT",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D..",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "134332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00767762",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "NS3215",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "68A921",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.