Individual provider Active NPI

Emancia Neil, MD

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1891998225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
211252 Issued in NY
Practice address
1571 Sheridan Ave
Suite 4B
Bronx, NY 10457-8546
Phone
(718) 466-0430
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 211252 NY Primary

Addresses

Primary practice location

1571 Sheridan Ave
Suite 4B
Bronx, NY 10457-8546

Mailing address

1571 Sheridan Ave
Suite 4B
Bronx, NY 10457-8546
Phone (718) 466-0430

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223001272 NY Practitioner - Family Practice 6204722770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1571 Sheridan Ave
Apt 4B
Bronx, NY 10457-8547
Phone (718) 466-0430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211252NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Family Practice PC CurrentSince Dec 22, 2013 Accepting new patients
Rapid Access Medical Diagnostics PLLC PastSince Dec 22, 2013 Accepting new patients

Locations

1571 Sheridan Ave
Apt 4B
Bronx, NY 10457
Phone (718) 466-0430

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891998225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 SHERIDAN AVE",
            "address_2": "SUITE 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578546",
            "telephone_number": "718-466-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 SHERIDAN AVE",
            "address_2": "SUITE 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578546",
            "telephone_number": "718-466-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "EMANCIA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "211252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.