Active NPI
Nicholas Christopher Avitabile, D.O.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 268396
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025-1716 - Phone
- (212) 523-4000
- NPI assigned
- Oct 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 268396 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025-1716
Mailing address
1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-4000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268396 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Emergency Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 1137
New York, NY 10032
Phone (212) 305-2575
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
Interoperability endpoints
- nca9002@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- nicholas.avitabile.1@2983.direct.athenahealth.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1992126247
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1780969790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVITABILE",
"first_name": "NICHOLAS",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "268396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.