Individual provider Active NPI

David I. Teitel, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1881742237
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
188764 Issued in NY
Practice address
11 Hanover SQ
27TH Floor
New York, NY 10005-2818
Phone
(212) 248-0876
Fax
(646) 688-6894
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 188764 NY Primary

Addresses

Primary practice location

11 Hanover SQ
27TH Floor
New York, NY 10005-2818

Mailing address

11 Hanover SQ
27TH Floor
New York, NY 10005-2818
Phone (212) 248-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188764NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1881742237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HANOVER SQ",
            "address_2": "27TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052818",
            "telephone_number": "212-248-0876",
            "fax_number": "646-688-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HANOVER SQ",
            "address_2": "27TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052818",
            "telephone_number": "212-248-0876",
            "fax_number": "646-688-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITEL",
        "first_name": "DAVID",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "188764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.