Individual provider Active NPI

Madeleine Drusin, M.D., M.SC.

  • Pediatric Otolaryngology Physician
  • New York, NY
National Provider Identifier
1881048544
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
330658 Issued in NY
Practice address
428 E 72ND St Ofc 100
New York, NY 10021-4635
Phone
(646) 962-2224
Fax
(503) 494-4631
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 330658 NY Primary
Pediatric Otolaryngology Physician 207YP0228X MD212139 OR
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

428 E 72ND St Ofc 100
New York, NY 10021-4635

Mailing address

428 E 72ND St Ofc 100
New York, NY 10021-4635
Phone (646) 962-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220908003600 OR Practitioner - Otolaryngology 2062750698 Reassigns benefits to 1 organization
I20241017004208 NY Practitioner - Otolaryngology 2062750698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD212139ORMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 23, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 23, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 3, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 3, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

1305 York Ave
#5
New York, NY 10021
Phone (212) 746-2281

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

428 E 72nd St
Ofc 100
New York, NY 10021
Phone (212) 746-3576

156 William St
Fl 12
New York, NY 10038
Phone (464) 962-2020

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

501 N Graham St
Ste 355
Portland, OR 97227
Phone (503) 413-2560

Networks

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

Interoperability endpoints

  • Direct secure messaging: mdd7003@direct.nyp.org

Organizations & group practices 6

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1881048544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214635",
            "telephone_number": "646-962-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214635",
            "telephone_number": "646-962-2224",
            "fax_number": "503-494-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUSIN",
        "first_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2024-12-12",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NY",
            "license": "330658",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "OR",
            "license": "MD212139",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.