Individual provider Active NPI

Anna Neystat, DO

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1831495662
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
276379 Issued in NY
Practice address
4802 10TH Ave
OBGYN
Brooklyn, NY 11219-2916
Phone
(718) 283-8225
Fax
(718) 635-7172
NPI assigned
Jan 26, 2011
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 276379 NY Primary

Addresses

Primary practice location

4802 10TH Ave
OBGYN
Brooklyn, NY 11219-2916

Mailing address

4802 10TH Ave
OBGYN
Brooklyn, NY 11219-2916
Phone (718) 283-8225

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
I20150401001870 NY Practitioner - Obstetrics/Gynecology 6901123900 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276379NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Obstetrics & Gynecology CurrentSince Feb 1, 2020 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 25, 2014 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York University CurrentSince May 1, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 1, 2020 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince May 1, 2018 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

953 49th St
Brooklyn, NY 11219
Phone (718) 283-8225

525 E 68th St
#J130
New York, NY 10065
Phone (212) 746-3000

Networks

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

Interoperability endpoints

  • Direct secure messaging: amn9020@direct.nyp.org
  • Direct secure messaging: annaneystat@mai.allscriptsdirect.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1831495662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "OBGYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-8225",
            "fax_number": "718-635-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "OBGYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-8225",
            "fax_number": "718-635-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYSTAT",
        "first_name": "ANNA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "276379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.