Roey Pasternak, ROEY PASTERNAK

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

259631 Issued in NY

Practice address

353 E 17TH St Apt 19C
New York, NY 10003-3835

Phone

(917) 587-9715

NPI assigned

Jun 23, 2008

Last updated

Aug 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Roey Pasternak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1598926446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E 17TH ST APT 19C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033835",
            "telephone_number": "917-587-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 17TH ST APT 19C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033835",
            "telephone_number": "917-587-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "ROEY",
        "credential": "ROEY PASTERNAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "259631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROEY",
            "last_name": "PASTERNAK",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Pastena, WHNP
• Kyle Pasternac, M.D.
• Fred L. Pasternack
• Linda Pasternack, PH.D.
• Mindy Pasternak
• Sara Ruth Pasternak, PH.D.
• Susan Weigel Pasternak, D.M.H.
• Carmen Pastor, CRNA
• Gideon Pastor, CRNA
• Matthew Pastor, PA-C

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.