Individual provider Active NPI

Morton Max Teich, M.D.

  • Allergy Physician
  • New York, NY
National Provider Identifier
1740347202
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
97807 Issued in NY
Practice address
930 Park Ave
New York, NY 10028-0209
Phone
(212) 988-1821
Fax
(212) 288-9289
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 97807 NY Primary
Pediatric Allergy/Immunology Physician 2080P0201X 97807 NY

Addresses

Primary practice location

930 Park Ave
New York, NY 10028-0209

Mailing address

930 Park Ave
New York, NY 10028-0209
Phone (212) 988-1821

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 May 23, 2016 through May 23, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97807NYMDPediatric Allergy/Immunology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1740347202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280209",
            "telephone_number": "212-988-1821",
            "fax_number": "212-288-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280209",
            "telephone_number": "212-988-1821",
            "fax_number": "212-288-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICH",
        "first_name": "MORTON",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "97807",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "97807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.