Individual provider Active NPI

Erin Rush Ortegon

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1821442328
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
310627-01 Issued in NY
Practice address
121 Avenue of the Americas FL 3
New York, NY 10013-1594
Phone
(505) 272-2223
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Child & Adolescent Psychiatry Physician 2084P0804X 310627-01 NY Primary

Addresses

Primary practice location

121 Avenue of the Americas FL 3
New York, NY 10013-1594

Mailing address

555 Broome St
New York, NY 10013-1510

Other names 1

  • Erin Rush Former name

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 Mar 2, 2026 through Mar 2, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310627-01NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Door - a Center of Alternatives, Inc. CurrentSince Jul 12, 2021 Accepting new patients
The Door - a Center of Alternatives, Inc. CurrentSince Jul 12, 2021 Accepting new patients
Erin Rush Ortegon, MD, LLC Current Accepting new patients

Locations

555 Broome St
New York, NY 10013
Phone (212) 453-0222

555 Broome St
Fl 3
New York, NY 10013
Phone (212) 941-9090

Networks

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

Organizations & group practices 3

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1821442328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BROOME ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AVENUE OF THE AMERICAS FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131594",
            "telephone_number": "505-272-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH ORTEGON",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "310627-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "RUSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.