Active NPI
Inessa Meyerovich, M.D.
- Psychiatry Physician
- Rego Park, NY
National Provider Identifier
1619957404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 218770
- Practice address
- 9811 Queens Blvd
Suite 1E
Rego Park, NY 11374-3323 - Phone
- (718) 830-0400
- Fax
- (718) 830-0005
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 218770 | NY | Primary |
Addresses
Primary practice location
9811 Queens Blvd
Suite 1E
Rego Park, NY 11374-3323
Mailing address
764 Plainfield LN
Valley Stream, NY 11581-3607
Phone (516) 791-1727
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9811 Queens Blvd
1E
Rego Park, NY 11374-3309
Phone (718) 830-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218770 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCDFAA/Endpoint/FCDFAA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1689886079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619957404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 PLAINFIELD LN",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813607",
"telephone_number": "516-791-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 QUEENS BLVD",
"address_2": "SUITE 1E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743323",
"telephone_number": "718-830-0400",
"fax_number": "718-830-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYEROVICH",
"first_name": "INESSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "218770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, 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.