Individual provider Active NPI

Elizabeth A Cahn, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1932324662
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400590 Issued in NY
Practice address
248W108St
New York, NY 10025
Phone
(212) 663-3000
Fax
(212) 663-3179
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400590 NY Primary

Addresses

Primary practice location

248W108St
New York, NY 10025

Mailing address

530E85St
New York, NY 10028
Phone (212) 734-8869

Other identifiers 1

IdentifierTypeStateIssuer
1444G32631OtherNYMEDICARE- UNSPECIFIED

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000826 NY Practitioner - Nurse Practitioner 7416970215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bridge, Inc.Group PAC ID 3476576273, 11 clinicians

Practice addresses (Care Compare)

248 W 108TH St
New York, NY 10025-2956
Phone (212) 663-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge, Inc. CurrentSince Jan 1, 2012 Accepting new patients

Locations

290 Lenox Ave
Fl 3
New York, NY 10027
Phone (870) 476-6003

248 W 108th St
New York, NY 10025
Phone (212) 663-3001

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1932324662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530E85ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-734-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248W108ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-663-3000",
            "fax_number": "212-663-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- UNSPECIFIED",
            "identifier": "1444G32631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.