Individual provider Active NPI

Deborah Lynn Ottenheimer, MD

  • Gynecology Physician
  • New York City, NY
National Provider Identifier
1679663678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
202312 Issued in NY
Practice address
103 5TH Avenue
#3
New York City, NY 10003
Phone
(212) 366-4765
Fax
(212) 229-1020
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 202312 NY Primary

Addresses

Primary practice location

103 5TH Avenue
#3
New York City, NY 10003

Mailing address

345 Greenwich St
#2
New York City, NY 10013
Phone (212) 366-4765

Other identifiers 1

IdentifierTypeStateIssuer
01909493MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000801 NY Practitioner - Obstetrics/Gynecology 8224058367 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 31, 2021 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince May 18, 2019 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 31, 2021 Accepting new patients
Shlomit Levy PastSince May 18, 2019 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC Gynecology PastSince Apr 16, 2019 Accepting new patients
Bronxcare Health System Gynecology Past Accepting new patients

Locations

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

227 Madison St
New York, NY 10002
Phone (212) 238-7000

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: dottenheimer1136598@nychhc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679663678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GREENWICH ST",
            "address_2": "#2",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-366-4765",
            "fax_number": "217-229-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 5TH AVENUE",
            "address_2": "#3",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-366-4765",
            "fax_number": "212-229-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENHEIMER",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "202312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909493",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.