Active NPI
Jonathan Brett Overdevest, MD, PHD
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 295290
- Practice address
- 180 Fort Washington Ave.
Harkness Pavilion, 7TH Floor
New York, NY 10032-1003 - Phone
- (212) 305-8555
- Fax
- (212) 305-3975
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 295290 | NY | Primary |
Addresses
Primary practice location
180 Fort Washington Ave.
Harkness Pavilion, 7TH Floor
New York, NY 10032-1003
Mailing address
180 Fort Washington Ave.
Harkness Pavilion, 8TH Floor
New York, NY 10032-2200
Phone (212) 305-8555
Other practice location 1
51 W 51st St Ste 385
New York, NY 10019-6113
Phone (212) 326-8476
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trustees of Columbia University in the City of New York
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-4931
Hospital & facility affiliations
- New York-Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295290 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
180 Fort Washington Ave
Fl 7
New York, NY 10032
Phone (212) 305-5242
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
180 Fort Washington Ave
Fl 8
New York, NY 10032
Phone (212) 305-5820
180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535
177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- joo9058@direct.nyp.org
Organizations & group practices 5
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Otolaryngology
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Otolaryngology
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1740899715
-
- Specialist
- New York, NY
- NPI 1801074315
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1881945657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 FORT WASHINGTON AVE.",
"address_2": "HARKNESS PAVILION, 8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322200",
"telephone_number": "212-305-8555",
"fax_number": "212-305-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 FORT WASHINGTON AVE.",
"address_2": "HARKNESS PAVILION, 7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321003",
"telephone_number": "212-305-8555",
"fax_number": "212-305-3975"
}
],
"practiceLocations": [
{
"address_1": "51 W 51st St Ste 385",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100196113",
"country_code": "US",
"telephone_number": "212-326-8476",
"fax_number": "212-305-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERDEVEST",
"first_name": "JONATHAN",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "295290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.