Individual provider Active NPI

Peter M. Bookstein, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1699854091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
201568 Issued in NY
Practice address
12 W 96TH St # 1a
New York, NY 10025-6509
Phone
(212) 665-8674
Fax
(212) 665-8683
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X 201568 NY Primary

Addresses

Primary practice location

12 W 96TH St # 1a
New York, NY 10025-6509

Mailing address

12 W 96TH St # 1a
New York, NY 10025-6509
Phone (212) 665-8674

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
I20111026000764 NY Practitioner - Psychiatry 7113190711 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
JGB Mental Health and Mental Retardation Services IncGroup PAC ID 1850349838, 15 clinicians

Practice addresses (Care Compare)

110 E 40TH St
New York, NY 10016-1801
Phone (212) 665-8674

250 W 64TH St
FL 4
New York, NY 10023-6402
Phone (212) 769-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201568NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Mental Health & Mental Retardation Services Inc CurrentSince Jan 23, 2013 Accepting new patients

Locations

250 W 64th St
Fl 4
New York, NY 10023

250 W 64th St
New York, NY 10023
Phone (212) 769-6247

Interoperability endpoints

  • Direct secure messaging: brooksteinp@lighthouseguild.direct.welligent.com

Organizations & group practices 1

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699854091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W 96TH ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256509",
            "telephone_number": "212-665-8674",
            "fax_number": "212-665-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 96TH ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256509",
            "telephone_number": "212-665-8674",
            "fax_number": "212-665-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKSTEIN",
        "first_name": "PETER",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "201568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.