Individual provider Active NPI

Daniel J Egan, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1962493585
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
239327 Issued in NY
Practice address
1000 10TH Ave
St. Luke'S Roosevelt Hospital Center
New York, NY 10019-1147
Phone
(212) 523-6745
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 222913 MA
Emergency Medicine Physician 207P00000X 239327 NY Primary
Emergency Medicine Physician 207P00000X 25MA08132300 NJ

Addresses

Primary practice location

1000 10TH Ave
St. Luke'S Roosevelt Hospital Center
New York, NY 10019-1147

Mailing address

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 523-6745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061109000363 NY Practitioner - Emergency Medicine 5799783585 Reassigns benefits to 4 organizations
I20200715001833 MA Practitioner - Emergency Medicine 5799783585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Icahn School of Medicine at Mount Sinai, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Sep 24, 2018 Accepting new patients
Fpa Hospital Based Current Accepting new patients
The General Hospital Corporation CurrentSince Aug 1, 2020 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Trustees of Columbia University in the City of New York Emergency Medicine CurrentSince Sep 24, 2018 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
New York University CurrentSince Aug 8, 2013 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Valley Emergency Assoc PA Emergency Medicine CurrentSince Dec 1, 2006 Accepting new patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
General Hospital Corp Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 24, 2018 Accepting new patients
New York University Emergency Medicine CurrentSince Aug 8, 2013 Accepting new patients
Emergency Medical Metro P C Emergency Medicine Past Accepting new patients
Metro Emergency Medical Association PLLC Emergency Medicine Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

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

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

622 W 168th St
Ph 1137
New York, NY 10032
Phone (212) 305-2575

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: egan.daniel.mgh@direct.partners.masshiway.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1962493585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "ST. LUKE'S ROOSEVELT HOSPITAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "222913",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "239327",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08132300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.