Individual provider Active NPI

Erica Kass Gettenberg, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1609021922
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
265259 Issued in NY
Practice address
220 5TH Ave FL 11
New York, NY 10001-8017
Phone
(212) 564-0480
Fax
(833) 907-2300
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10468400 NJ
Psychiatry Physician 2084P0800X V3004 TX
Psychiatry Physician 2084P0800X 265259 NY Primary

Addresses

Primary practice location

220 5TH Ave FL 11
New York, NY 10001-8017

Mailing address

14 Old Smith Rd
Tenafly, NJ 07670-2227
Phone (917) 576-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140617000388 NY Practitioner - Psychiatry 4385822477 Reassigns benefits to 1 organization
I20250203003624 NJ Practitioner - Psychiatry 4385822477

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpresent Psychiatry PCGroup PAC ID 4981081601, 14 clinicians

Practice addresses (Care Compare)

350 W 42ND St
Apt 37G
New York, NY 10036-6959
Phone (212) 564-0480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10468400NJMDPsychiatry Physician
265259NYMDPsychiatry Physician
V3004TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rappore Medicine NJ PC Psychiatry CurrentSince Dec 22, 2024 Accepting new patients
Rappore Medicine PC Psychiatry CurrentSince May 1, 2022 Accepting new patients
Inpresent Psychiatry PC Psychiatry CurrentSince May 1, 2022 Accepting new patients
Inpresent Foundation, Inc. PastSince May 1, 2020 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology PastSince Jan 1, 2020 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480

1 Rockefeller Plz
Rm 1712
New York, NY 10020
Phone (650) 627-3677

Interoperability endpoints

  • Direct secure messaging: erica.gettenberg.1@25072.direct.athenahealth.com

Organizations & group practices 5

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1609021922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLD SMITH RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702227",
            "telephone_number": "917-576-5541",
            "fax_number": "929-450-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018017",
            "telephone_number": "212-564-0480",
            "fax_number": "833-907-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTENBERG",
        "first_name": "ERICA",
        "middle_name": "KASS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10468400",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V3004",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "265259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.