Individual provider Active NPI

Howard Trachtman, MD

  • Pediatric Nephrology Physician
  • New York, NY
National Provider Identifier
1942360011
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
147664 Issued in NY
Practice address
227 E 30TH St
New York, NY 10016-8203
Phone
(646) 501-2663
Fax
(212) 263-4053
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 147664 NY Primary

Addresses

Primary practice location

227 E 30TH St
New York, NY 10016-8203

Mailing address

227 E 30TH St
New York, NY 10016-8203
Phone (646) 501-2663

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
I20080109000637 NY Practitioner - Pediatric MedicinePractitioner - Nephrology 0143300608 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Health Care Inc CurrentSince May 1, 2005 Accepting new patients
New York University CurrentSince Dec 1, 2011 Accepting new patients
North Shore Long Island Jewish Healthcare CurrentSince May 1, 2005 Accepting new patients
New York University CurrentSince Dec 1, 2011 Accepting new patients

Locations

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: htrachtman683686@nychhc.direct-ci.com

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1942360011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E 30TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168203",
            "telephone_number": "646-501-2663",
            "fax_number": "212-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E 30TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168203",
            "telephone_number": "646-501-2663",
            "fax_number": "212-263-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTMAN",
        "first_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "147664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.