Active NPI
Eric Michael Ewing, MD
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
National Provider Identifier
1932554003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 234 E 149TH Street
9TH Floor D Win RM 216
Bronx, NY 10457 - Phone
- (718) 579-4883
- Fax
- (718) 579-4860
- NPI assigned
- Apr 26, 2016
- Reactivated
- Mar 15, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
234 E 149TH Street
9TH Floor D Win RM 216
Bronx, NY 10457
Mailing address
234 E 149TH Street
9TH Floor D Win RM 216
Bronx, NY 10457
Phone (718) 579-4883
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231130001364 | NY | Order and Referring Only - Psychiatry | 0547618654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- eewing832263@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1932554003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E 149TH STREET",
"address_2": "9TH FLOOR D WIN RM 216",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-579-4883",
"fax_number": "718-579-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E 149TH STREET",
"address_2": "9TH FLOOR D WIN RM 216",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-579-4883",
"fax_number": "718-579-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2018-03-15",
"deactivation_date": "2016-12-14",
"reactivation_date": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.