Individual provider Active NPI

Bruce Culliney, MD

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1912982380
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
188663 Issued in NY
Practice address
10 Union SQ E
Suite 4C
New York, NY 10003-3314
Phone
(212) 844-8287
NPI assigned
Dec 8, 2005
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 188663 NY
Hematology & Oncology Physician 207RH0003X 188663 NY Primary

Addresses

Primary practice location

10 Union SQ E
Suite 4C
New York, NY 10003-3314

Mailing address

PO Box 95000-2441
Philadelphia, PA 19195-2441
Phone (212) 844-8287

Other identifiers 1

IdentifierTypeStateIssuer
01557982MedicaidNY

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
I20051019000152 NY Practitioner - Hematology/OncologyPractitioner - Interventional Pain ManagementPractitioner - Hematology 3274559232 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188663NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Hematology & Oncology CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2016 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Isreal Medical Center Ny Past Accepting new patients

Locations

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
Ste 4C
New York, NY 10003
Phone (212) 844-8288

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1912982380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2441",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952441",
            "telephone_number": "212-844-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINEY",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "188663",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "188663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01557982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.