Individual provider Active NPI

David Straker, MD

  • Psychiatry Physician
  • Glen Oaks, NY
National Provider Identifier
1942371943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
222229 Issued in NY
Practice address
The Zucker Hillside Hospital
75-59 263Rd Street
Glen Oaks, NY 11004
Phone
(718) 470-8141
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 222229 NY Primary

Addresses

Primary practice location

The Zucker Hillside Hospital
75-59 263Rd Street
Glen Oaks, NY 11004

Mailing address

The Zucker Hillside Hospital
75-59 263Rd Street
Glen Oaks, NY 11004
Phone (718) 470-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222229NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in Department of Psychiatry Psychiatry CurrentSince Feb 1, 2003 Accepting new patients
Trustees of Columbia University Psychiatry CurrentSince Oct 14, 2003 Accepting new patients
Trustees of Columbia University in the City of New York Psychiatry PastSince Oct 14, 2003 Accepting new patients

Locations

622 W 168th St
Ph 16
New York, NY 10032
Phone (212) 305-2463

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090

635 W 165th St
Ste 636
New York, NY 10032
Phone (212) 342-1600

622 W 168th St
Fl 14
New York, NY 10032
Phone (212) 305-6788

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942371943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE ZUCKER HILLSIDE HOSPITAL",
            "address_2": "75-59 263RD STREET",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE ZUCKER HILLSIDE HOSPITAL",
            "address_2": "75-59 263RD STREET",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAKER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "222229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

Verify at the official NPI Registry.