Individual provider Active NPI

Eric Brian Segal, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • N White Plains, NY
National Provider Identifier
1770736530
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA08985300 Issued in NJ
Practice address
690 N Broadway
GL1
N White Plains, NY 10603-2417
Phone
(914) 428-3651
Fax
(914) 428-2948
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 250300 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 250300 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA08985300 NJ Primary

Addresses

Primary practice location

690 N Broadway
GL1
N White Plains, NY 10603-2417

Mailing address

690 N Broadway
GL1
N White Plains, NY 10603-2417
Phone (914) 428-3651

Other identifiers 2

IdentifierTypeStateIssuer
0286389MedicaidNJ
03623925MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20120504000240 NJ Practitioner - NeurologyPractitioner - Other (Physician) 4880856061 Reassigns benefits to 1 organization
I20130904000178 NY Practitioner - Neurology 4880856061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Suite 800
Hackensack, NJ 07601-1974
Phone (201) 343-6676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08985300NJMDNeurology with Special Qualifications in Child Neurology Physician
250300NYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants PA Neurology With Special Qualifications in Child Neurology CurrentSince Dec 25, 2011 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants, PA Neurology With Special Qualifications in Child Neurology CurrentSince Dec 25, 2011 Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC Neurology With Special Qualifications in Child Neurology CurrentSince Jan 1, 2013 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

390 Crystal Run Rd
Ste 102
Middletown, NY 10941
Phone (845) 692-8780

737 Castleton Ave
Staten Island, NY 10310
Phone (718) 655-6595

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

690 N Broadway
Rear GL1
White Plains, NY 10603

6907 43rd Ave
Ste C2
Woodside, NY 11377
Phone (718) 830-3772

Networks

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

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1770736530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "GL1",
            "city": "N WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "GL1",
            "city": "N WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ERIC",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "250300",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "250300",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA08985300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286389",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03623925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N White Plains, NY

Sources for this page

Verify at the official NPI Registry.