Active NPI
Gary H. Rusk, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1669492245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 106633
- Practice address
- 1440 York Ave
Suite P-7
New York, NY 10021-2577 - Phone
- (212) 734-1489
- Fax
- (212) 734-7811
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 106633 | NY | Primary |
Addresses
Primary practice location
1440 York Ave
Suite P-7
New York, NY 10021-2577
Mailing address
1440 York Ave
Suite P-7
New York, NY 10021
Phone (212) 734-1489
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120221000126 | NY | Practitioner - Psychiatry | 3274791348 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northwestern University Feinberg Medical School, 1969
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1440 York Ave
New York, NY 10075-2577
Phone (212) 734-1489
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106633 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669492245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 YORK AVE",
"address_2": "SUITE P-7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-734-1489",
"fax_number": "212-734-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 YORK AVE",
"address_2": "SUITE P-7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212577",
"telephone_number": "212-734-1489",
"fax_number": "212-734-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSK",
"first_name": "GARY",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "106633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.