Individual provider Active NPI

Ceri E Hadda, M.D.

  • Geriatric Psychiatry Physician
  • New York, NY
National Provider Identifier
1821150509
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
207747 Issued in NY
Practice address
130 E 77TH St
3Rd Floor
New York, NY 10075-1851
Phone
(212) 831-3005
Fax
(212) 434-3306
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 207747 NY Primary

Addresses

Primary practice location

130 E 77TH St
3Rd Floor
New York, NY 10075-1851

Mailing address

79 W 12TH St
Apartment 4a
New York, NY 10011-8565
Phone (212) 924-6798

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040904000112 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6608842216 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30 E 76TH St
New York, NY 10021-2765
Phone (212) 831-3005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207747NYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Park Lenox Psychiatry Past Accepting new patients
Dac Physician Services,PC PastSince May 3, 2004 Accepting new patients
Park Lenox Medical, PC Past Accepting new patients
Barry L. Feinberg MD PC PastSince Nov 1, 2006 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

130 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-3691

130 E 77th St
Fl 4
New York, NY 10075
Phone (212) 434-3000

130 E 77th St
#B304
New York, NY 10075

110 E 59th St
Fl 10
New York, NY 10022

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: chadda68212@northwell.direct-ci.com

Organizations & group practices 5

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1821150509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W 12TH ST",
            "address_2": "APARTMENT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118565",
            "telephone_number": "212-924-6798",
            "fax_number": "212-434-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-831-3005",
            "fax_number": "212-434-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDA",
        "first_name": "CERI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "207747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.