Individual provider Active NPI

David Myssiorek, MD

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1841361847
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
147877 Issued in NY
Practice address
160 E 34TH St
9TH Floor
New York, NY 10016-4744
Phone
(212) 731-6085
Fax
(212) 731-5502
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 147877 NY Primary

Addresses

Primary practice location

160 E 34TH St
9TH Floor
New York, NY 10016-4744

Mailing address

160 E 34TH Street
New York University Clinical Cancer Center
New York, NY 10016-4744
Phone (212) 731-6085

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
I20050104000713 NY Practitioner - Otolaryngology 7911955281 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

1650 Grand Concourse
FL 9
Bronx, NY 10457-7606
Phone (718) 901-6901

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Otolaryngology CurrentSince May 1, 2012 Accepting new patients
Bronxcare Health System CurrentSince Sep 1, 2018 Accepting new patients
New York University Otolaryngology CurrentSince Jan 1, 2007 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Nov 1, 2012 Accepting new patients
New York University Otolaryngology Current Accepting new patients
New York University CurrentSince Jan 1, 2007 Accepting new patients
Bronxcare Health System Otolaryngology CurrentSince Sep 1, 2018 Accepting new patients
North Shore Long Island Jewish Healthcare Otolaryngology Past Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1650 Grand Concourse
Fl 6
Bronx, NY 10457
Phone (718) 901-6901

1650 Grand Concourse
Fl 9
Bronx, NY 10457
Phone (718) 518-5243

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

160 E 34th St
New York, NY 10016
Phone (212) 731-5180

530 1st Ave
Ste 3C
New York, NY 10016
Phone (212) 263-0330

160 E 34th St
Fl 9
New York, NY 10016
Phone (212) 731-5430

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1841361847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 34TH STREET",
            "address_2": "NEW YORK UNIVERSITY CLINICAL CANCER CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164744",
            "telephone_number": "212-731-6085",
            "fax_number": "212-731-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 34TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164744",
            "telephone_number": "212-731-6085",
            "fax_number": "212-731-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSSIOREK",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "147877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.