Active NPI
Ido Sirota, M.D. M.H.A
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- New York, NY
National Provider Identifier
1689989089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- License
- 275462
- Practice address
- 1000 10TH Ave
New York, NY 10019-1147 - Phone
- (212) 523-4000
- NPI assigned
- Aug 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 275462 | NY | |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | 275462 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave
New York, NY 10019-1147
Mailing address
1000 10TH Ave
New York, NY 10019-1147
Phone (212) 523-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1689989089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-523-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-523-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROTA",
"first_name": "IDO",
"credential": "M.D. M.H.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "275462",
"primary": false
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NY",
"license": "275462",
"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 Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.