Active NPI
Samuel Boris Drassinower, M.D.
- Psychiatry Physician
- White Plains, NY
National Provider Identifier
1902925068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 105578
- Practice address
- 15 Lake St # LB1
White Plains, NY 10603-3851 - Phone
- (914) 682-0448
- Fax
- (914) 682-0506
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 105578 | NY | Primary |
Addresses
Primary practice location
15 Lake St # LB1
White Plains, NY 10603-3851
Mailing address
15 Lake St # LB1
White Plains, NY 10603-3851
Phone (914) 682-0448
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094370 | Other | NY | GHI |
| 42242P | Other | NY | HIP |
| 343541 | Other | NY | EMPIRE BLUE CROSS |
| WS1173 | Other | NY | OXFORD |
| 154945 | Other | NY | VALUE OPTIONS |
| 00184592 | Medicaid | NY |
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
- Psychiatry
- Education
- Other, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Lake St
Suite LB1
White Plains, NY 10603-3851
Phone (914) 682-0448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Psychiatry Physician
- White Plains, NY
- NPI 1841591997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902925068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LAKE ST # LB1",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033851",
"telephone_number": "914-682-0448",
"fax_number": "914-682-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 LAKE ST # LB1",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033851",
"telephone_number": "914-682-0448",
"fax_number": "914-682-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRASSINOWER",
"first_name": "SAMUEL",
"middle_name": "BORIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "105578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0094370",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "42242P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "343541",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WS1173",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "154945",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00184592",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.