NPIMap

Individual provider Active NPI

Amit K Bansal, D.O

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1861665432
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
249988 Issued in NY
Practice address
301 E 17TH St
NYU Hospital for Joint Disease
New York, NY 10003-3804
Phone
(212) 598-6267
NPI assigned
Apr 3, 2008
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 249988 NY Primary

Addresses

Primary practice location

301 E 17TH St
NYU Hospital for Joint Disease
New York, NY 10003-3804

Mailing address

301 E 17TH St
NYU Hospital for Joint Disease
New York, NY 10003-3804
Phone (212) 598-6267

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abansal12498@nyumc.direct-ci.com

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
I20090811000180 NY Practitioner - Physical Medicine and Rehabilitation 9537213574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249988NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Physical Medicine & Rehabilitation CurrentSince Jul 1, 2012 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Jul 1, 2012 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Physical Medicine & Rehabilitation CurrentSince Mar 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
NYU Langone Hospitals Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

2107 Ditmas Ave
Brooklyn, NY 11226
Phone (718) 207-4348

227 Madison St
New York, NY 10002
Phone (212) 238-7000

240 E 38th St
Fl 15
New York, NY 10016
Phone (212) 263-6037

301 E 17th St
New York, NY 10003
Phone (212) 598-2454

400 E 34th St
#224
New York, NY 10016
Phone (212) 263-6952

50 Water St
Fl 3
New York, NY 10004

530 1st Ave
Ste 7B
New York, NY 10016
Phone (212) 263-7814

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1861665432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 17TH ST",
            "address_2": "NYU HOSPITAL FOR JOINT DISEASE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-598-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 17TH ST",
            "address_2": "NYU HOSPITAL FOR JOINT DISEASE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-598-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "AMIT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "249988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abansal12498@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "240 E 38th St Fl 15",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100162708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.