Individual provider Active NPI

Aviva Teitelbaum, MD

  • Addiction Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1942547054
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
282266 Issued in NY
Practice address
26 Court St Ste 1904
Brooklyn, NY 11242-1119
Phone
(917) 382-0777
NPI assigned
Jan 9, 2013
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 282266 NY
Addiction Psychiatry Physician 2084P0802X 282266 NY Primary

Addresses

Primary practice location

26 Court St Ste 1904
Brooklyn, NY 11242-1119

Mailing address

26 Court St Ste 1904
Brooklyn, NY 11242-1119
Phone (917) 382-0777

Other practice location 1

550 First Avenue
New York, NY 10010
Phone (646) 754-5438

Other identifiers 1

IdentifierTypeStateIssuer
282266OtherNYNEW YORK STATE EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS: MEDICAL LICENSE

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
I20160718001806 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 7416240114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282266NYMDAddiction Psychiatry Physician

Networks

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

Interoperability endpoints

  • Direct secure messaging: ateitelbaum1056546@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1942547054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1904",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421119",
            "telephone_number": "917-382-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1904",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421119",
            "telephone_number": "917-382-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 First Avenue",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10010",
            "country_code": "US",
            "telephone_number": "646-754-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "AVIVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "282266",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "282266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS: MEDICAL LICENSE",
            "identifier": "282266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.