Active NPI
Seymour Larry Kushnir, MD
- Psychiatry Physician
- Suffern, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 199113
- Practice address
- 255 Lafayette St
Suffern, NY 10901 - Phone
- (845) 987-3973
- Fax
- (845) 987-5979
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 199113 | NY | Primary |
Addresses
Primary practice location
255 Lafayette St
Suffern, NY 10901
Mailing address
20 Grand Street
3Rd FL
Warwick, NEW YORK 10990-1035
UM
Phone (845) 987-3906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02362843 | Medicaid | NY | |
| 02753533 | Medicaid | NY | |
| 3054V1 | Other | EMPIRE BCBS |
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
- Psychiatry
- Education
- McGill University, Faculty of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199113 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Charity Health System Medical Group, P.C. | Psychiatry | Current | Accepting new patients |
| Good Samaritan Hospital of Suffern | Past | Accepting new patients |
Locations
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
255 Lafayette Ave
#L
Suffern, NY 10901
Phone (845) 368-5199
20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- seymourkushnir@cmdci.allscriptsdirect.net
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.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
Psychiatry
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1689747677",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "20 GRAND STREET",
"address_2": "3RD FL",
"city": "WARWICK",
"state": "NEW YORK",
"postal_code": "109901035",
"telephone_number": "845-987-3906",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LAFAYETTE ST",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-987-3973",
"fax_number": "845-987-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNIR",
"first_name": "SEYMOUR",
"middle_name": "LARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "199113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02362843",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02753533",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "3054V1",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.