Active NPI
Alexander Mauskop, MD
- Specialist
- New York, NY
National Provider Identifier
1962629147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 154116
- Practice address
- 30 E 76TH St
2ND Floor
New York, NY 10021-2700 - Phone
- (212) 794-3550
- Fax
- (212) 794-0591
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 154116 | NY | Primary |
Addresses
Primary practice location
30 E 76TH St
2ND Floor
New York, NY 10021-2700
Mailing address
132 Atlantic Ave
Brooklyn, NY 11201-5502
Phone (718) 935-9666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154116 | Other | NY | HIP |
| 6944712 | Other | NY | CIGNA |
| 98159 | Other | NY | AETNA |
| 40F631 | Other | NY | BCBS |
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
- Opted out of Medicare
- Yes, effective May 31, 2019 through May 31, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
30 E 76TH St
2ND FL
New York, NY 10021-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Pain Treatment Associates, PC | Specialist | Past | Accepting new patients |
| Physician Pain Treatment Associates, PC | Specialist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61756
Organizations & group practices 2
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.
-
- Specialist
- Brooklyn, NY
- NPI 1124193883
-
- Specialist
- New York, NY
- NPI 1356416085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962629147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015502",
"telephone_number": "718-935-9666",
"fax_number": "718-935-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 76TH ST",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212700",
"telephone_number": "212-794-3550",
"fax_number": "212-794-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUSKOP",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "154116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "154116",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6944712",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "98159",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "40F631",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.