Individual provider Active NPI

Jeanmarie Anderer, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1720291347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
159923 Issued in NY
Practice address
139 East 35TH St
#1H
New York, NY 10016-4176
Phone
(212) 686-4483
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

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 159923 NY Primary

Addresses

Primary practice location

139 East 35TH St
#1H
New York, NY 10016-4176

Mailing address

139 East 35TH St
#1H
New York, NY 10016-4176
Phone (212) 686-4483

Other identifiers 1

IdentifierTypeStateIssuer
40F871MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720291347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 EAST 35TH ST",
            "address_2": "#1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164176",
            "telephone_number": "212-686-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EAST 35TH ST",
            "address_2": "#1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164176",
            "telephone_number": "212-686-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERER",
        "first_name": "JEANMARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "159923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40F871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.