Individual provider Active NPI

Stuart Allan Treitel, P.A.

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1700154614
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23-015592 Issued in NY
Practice address
1715 E 13TH St Ste 401
Brooklyn, NY 11229-1901
Phone
(718) 258-2588
NPI assigned
Dec 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 21962 CA
Physician Assistant 363A00000X 23-015592 NY Primary

Addresses

Primary practice location

1715 E 13TH St Ste 401
Brooklyn, NY 11229-1901

Mailing address

1715 E 13TH St Ste 401
Brooklyn, NY 11229-1901
Phone (718) 258-2588

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723002685 NY Practitioner - Physician Assistant 4789087081 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21962CAMDPulmonary Function Technologist Registered Respiratory Therapist
23-015592NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Jul 19, 2021 Accepting new patients
New York University CurrentSince Jul 6, 2022 Accepting new patients
New York University CurrentSince Jul 6, 2022 Accepting new patients
Maimonides Bone and Joint Faculty Practice Physical Therapy Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

6010 Bay Pkwy
Ste 7
Brooklyn, NY 11204

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: streitel496882@nyumc.direct-ci.com
  • Direct secure messaging: streitelpa@mbj.emadirect.md

Organizations & group practices 7

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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1700154614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E 13TH ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291901",
            "telephone_number": "718-258-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 13TH ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291901",
            "telephone_number": "718-258-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREITEL",
        "first_name": "STUART",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21962",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23-015592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.