Individual provider Active NPI

Serena A. Mulhern, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1962592618
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209708 Issued in NY
Practice address
40 Worth St RM 402
New York, NY 10013-3050
Phone
(646) 962-3400
Fax
(646) 962-0130
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209708 NY Primary

Addresses

Primary practice location

40 Worth St RM 402
New York, NY 10013-3050

Mailing address

40 Worth St RM 402
New York, NY 10013-3050

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address sem9023@direct.nyp.org Direct

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
I20110208000119 NY Practitioner - Internal Medicine 9133202377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

186 Joralemon St
Brooklyn, NY 11201-4356
Phone (646) 962-4600

201 E 68TH St
New York, NY 10065-5734
Phone (212) 746-7319

211 E 80TH St
New York, NY 10075-0531
Phone (646) 962-8690

215 E 85TH St
New York, NY 10028-3108
Phone (646) 962-7300

2315 Broadway
New York, NY 10024-4332
Phone (646) 962-3869

40 Worth St
New York, NY 10013-2904
Phone (646) 962-3400

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Weill Medical College of Cornell University Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2011 Accepting new patients
New York Medical Associates, P.C. CurrentSince Apr 15, 1994 Accepting new patients
Eric Kusseluk, M.D., LLC Past Accepting new patients
Weill Medical College of Cornell Internal Medicine Past Accepting new patients

Locations

551 Madison Ave
Fl 7
New York, NY 10022
Phone (212) 249-2680

40 Worth St
Rm 402
New York, NY 10013
Phone (646) 962-3400

635 Madison Ave
Fl 3
New York, NY 10022
Phone (212) 439-6690

Organizations & group practices 6

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.

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1962592618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WORTH ST RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WORTH ST RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133050",
            "telephone_number": "646-962-3400",
            "fax_number": "646-962-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHERN",
        "first_name": "SERENA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "40 Worth St Rm 402",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100133050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "40 Worth St Rm 402",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100133050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sem9023@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "40 Worth St Rm 402",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100133050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.