Active NPI
Eddys Disla, M.D.
- Rheumatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 182472
- Practice address
- 1St Ave & E 16TH St
7TH Floor
New York, NY 10003 - Phone
- (212) 420-3131
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 182472 | NY | Primary |
Addresses
Primary practice location
1St Ave & E 16TH St
7TH Floor
New York, NY 10003
Mailing address
PO Box 95000-2433
Philadelphia, PA 19195-0001
Phone (212) 420-3131
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
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 St Ave and 16TH St
New York, NY 10003
Phone (212) 844-8101
Hospital & facility affiliations
- Mount Sinai Beth Israel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182472 | NY | MD | Rheumatology Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Rheumatology | Current | Accepting new patients |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145
10 Union Sq E
Frnt 5
New York, NY 10003
Phone (212) 253-6800
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 4
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.
-
- Rheumatology Physician
- New York, NY
- NPI 1043571086
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Neurology Physician
- New York, NY
- NPI 1891848461
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1679619233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2433",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191950001",
"telephone_number": "212-420-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1ST AVE & E 16TH ST",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISLA",
"first_name": "EDDYS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "182472",
"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 Apr 17, 2019; 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.