NPIMap

Individual provider Active NPI

Peter S Kozuch, MD

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1861475816
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
216988 Issued in NY
Practice address
10 Union SQ E
Suite 4C
New York, NY 10003-3314
Phone
(212) 844-8070
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216988 NY
Hematology & Oncology Physician 207RH0003X 216988 NY Primary

Addresses

Primary practice location

10 Union SQ E
Suite 4C
New York, NY 10003-3314

Mailing address

PO Box 95000-2441
Philadelphia, PA 19195-2441
Phone (212) 256-3539

Other identifiers 1

IdentifierTypeStateIssuer
02064428MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000771 NY Practitioner - Hematology/Oncology 7113816620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Hahneman Medical College of the Pacific, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Union Square E
Tisch Dept of Mount Sinai
New York, NY 10003-3314
Phone (212) 844-8288

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Hematology & Oncology CurrentSince Jan 1, 2016 Accepting new patients
St Lukes Roosevelt Community Care Internal Medicine Past Accepting new patients
St Lukes Roosevelt Hospital Center Hematology & Oncology Past Accepting new patients

Locations

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

1000 10th Ave
#11G
New York, NY 10019
Phone (212) 523-5560

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

425 W 59th St
Ste 9C
New York, NY 10019
Phone (212) 492-5550

10 Union Sq E
Ste 4C
New York, NY 10003
Phone (212) 844-8288

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1861475816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2441",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952441",
            "telephone_number": "212-256-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUCH",
        "first_name": "PETER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216988",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "216988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.