Fpa Hospital Based

Organization Active NPI Nuclear Medicine Physician · New York, NY

NPI 1629319413 · NPPES record last updated Aug 27, 2013

Key facts

NPI
1629319413
Entity type
Organization (NPI type 2)
Primary specialty
Nuclear Medicine Physician 207U00000X
Legal business name
FPA HOSPITAL BASED
Practice address
1 Gustave L Levy PL
New York, NY 10029-6500
Phone
(212) 241-7775
NPI assigned
Mar 5, 2013
Organization subpart
No

Authorized official

Name
John W Hart
Title
Administrative Director
Phone
(212) 241-6824

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1,326

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,326

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130806000185 NY Part B Supplier - Clinic/Group Practice 4789826694 Receives reassigned benefits from 1,308 practitioners
8 other NPIs on this enrollment
Practice locations: New York, NY; Staten Island, NY; Brooklyn, NY; Greenlawn, NY; Jackson Heights, NY; Long Island City, NY; Manhasset, NY

National Provider Directory

Tax ID family
Fpa Hospital Based (4 organizations share this tax ID)

Locations

300 Cadman Plz W
Fl 8
Brooklyn, NY 11201

3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500

17 E 102nd St
#Stste6D
New York, NY 10029

55 E 34th St
#4
New York, NY 10016

1176 5th Ave
Lbby
New York, NY 10029

1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207U00000X Yes

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029-6500

Mailing address

PO Box 5024
New York, NY 10087-5024
Phone (212) 241-6824

Other names

  • Nuclear Medicine Department of Mount Sinai Other name

Other providers in New York, NY

All providers in New York, NY · Nuclear Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.