Individual provider Active NPI

Susan Heather Daun Regisford, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1831195239
Registry record updated Jun 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
186806 Issued in NY
Practice address
380 2ND Ave
Concourse a
New York, NY 10010-5615
Phone
(212) 375-1065
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 186806 NY Primary

Addresses

Primary practice location

380 2ND Ave
Concourse a
New York, NY 10010-5615

Mailing address

P.O. Box 1436
New York, NY 10163-1436
Phone (212) 983-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186806NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BP Medical PC Anesthesiology Past Accepting new patients
Efficient Anesthesia P.C. Anesthesiology PastSince Apr 30, 2008 Accepting new patients
TBHC Anesthesiology Services, PC Past Accepting new patients
East Side Endoscopy LLC Past Accepting new patients
Nyc Medical, P.C. Anesthesiology Past Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients
Fifth Avenue Medical Services, P.C. Anesthesiology Past Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Organizations & group practices 8

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1831195239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1436",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101631436",
            "telephone_number": "212-983-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "CONCOURSE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-375-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGISFORD",
        "first_name": "SUSAN",
        "middle_name": "HEATHER DAUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "186806",
            "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 Jun 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.