Individual provider Active NPI

Emilio Oribe, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1689624785
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
168197 Issued in NY
Practice address
162 E 78TH St
New York, NY 10075-0406
Phone
(212) 794-2281
Fax
(212) 517-9551
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 168197 NY Primary

Addresses

Primary practice location

162 E 78TH St
New York, NY 10075-0406

Mailing address

162 E 78TH St
New York, NY 10075-0406
Phone (212) 794-2281

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
I20040320000591 NY Practitioner - NeurologyPractitioner - Internal Medicine 1658262738 Practice locations: Astoria, NY; New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168197NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Booth Medical Associates PC Neurology Past Accepting new patients
Dac Physician Services,PC PastSince May 3, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1689624785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750406",
            "telephone_number": "212-794-2281",
            "fax_number": "212-517-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750406",
            "telephone_number": "212-794-2281",
            "fax_number": "212-517-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIBE",
        "first_name": "EMILIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "168197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.