Individual provider Active NPI

Elliot Jay Riegelhaupt, M.D..

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1548338510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
134332 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00767762MedicaidNY
NS3215OtherNYOXFORD HEALTH PLAN
68A921OtherNYBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000643 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5698738425 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
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

LicenseStateTypeSpecialty
134332NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.