Individual provider Active NPI

Nanci Pittman, M.D.

  • Pediatric Gastroenterology Physician
  • New York, NY
National Provider Identifier
1710956040
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
184622 Issued in NY
Practice address
1 Gustave L Levy PL
Box 1200
New York, NY 10029-6500
Phone
(212) 241-5415
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 184622 NY Primary
Pediatrics Physician 208000000X 184622 NY

Addresses

Primary practice location

1 Gustave L Levy PL
Box 1200
New York, NY 10029-6500

Mailing address

1 Gustave L Levy PL
Box 1200
New York, NY 10029-6500
Phone (212) 241-5415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080307000028 NY Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3072698612 Reassigns benefits to 1 organization
I20190821000846 NJ Practitioner - Pediatric Medicine 3072698612 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2012 Accepting new patients
Valley Physician Services PC CurrentSince Jul 2, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Pediatrics CurrentSince Mar 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

140 E Ridgewood Ave
Ste 480
Paramus, NJ 07652

5 E 98th St
#10
New York, NY 10029
Phone (212) 241-5656

17 E 102nd St
Fl 5
New York, NY 10029
Phone (212) 241-8100

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

5 E 98th St
#8
New York, NY 10029
Phone (212) 241-5415

495 Central Park Ave
Ste 305
Scarsdale, NY 10583
Phone (914) 831-6860

Networks

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

Interoperability endpoints

  • Direct secure messaging: nanci.pittman.1@5622.direct.athenahealth.com

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1710956040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "NANCI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "184622",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "184622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.