The New Jewish Home, Manhattan - Medical Department - Medicare Primary Care in New York, NY

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The New Jewish Home, Manhattan - Medical Department is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in New York, New York. The current practice location for The New Jewish Home, Manhattan - Medical Department is 120 W 106th St, Attn Medical Dept, New York, New York. For appointments, you can reach them via phone at (212) 870-4868. The mailing address for The New Jewish Home, Manhattan - Medical Department is 120 W 106th St, Attn Medical Dept, New York, New York and phone number is (212) 870-4868.

The New Jewish Home, Manhattan - Medical Department is licensed to practice in New York (license number 7002340N). The clinic also participates in the medicare program and its NPI number is 1639244742. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (212) 870-4868.

Contact Information

The New Jewish Home, Manhattan - Medical Department
120 W 106th St
Attn Medical Dept
New York
NY 10025-3712
(212) 870-4868
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameThe New Jewish Home, Manhattan - Medical Department
SpecialityInternal Medicine
Location120 W 106th St, New York, New York
Authorized Official Name and PositionDana Penny (CHIEF COMPLIANCE OFFICER)
Authorized Official Contact2128704752
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The New Jewish Home, Manhattan - Medical Department
120 W 106th St
Attn Medical Dept
New York
NY 10025-3712

Ph: (212) 870-4868		The New Jewish Home, Manhattan - Medical Department
120 W 106th St
Attn Medical Dept
New York
NY 10025-3712

Ph: (212) 870-4868

NPI Details:

NPI Number1639244742
Provider Enumeration Date11/22/2006
Last Update Date03/02/2018

Medicare PECOS Information:

Medicare PECOS PAC ID1153231212
Medicare Enrollment IDO20040608000119

Medical Identifiers

Medical identifiers for The New Jewish Home, Manhattan - Medical Department such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639244742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 7002340N (New York)Primary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation 7002340N (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 7002340N (New York)Secondary
363L00000XNurse Practitioner 7002340N (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The New Jewish Home, Manhattan - Medical Department acts as a billing entity for following providers:
Provider NameDeborah B Goldberg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730380031
PECOS PAC ID: 9739179268
Enrollment ID: I20040515000483
Provider NameFe T Reyes Arcangel
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1649355686
PECOS PAC ID: 2567444771
Enrollment ID: I20040602000849
Provider NameBrigid A Tracey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205049699
PECOS PAC ID: 4486615077
Enrollment ID: I20041026001212
Provider NameWorku B Zewdu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982649034
PECOS PAC ID: 9739191073
Enrollment ID: I20060703000043
Provider NameJeffrey I Farber
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1932153566
PECOS PAC ID: 2961401914
Enrollment ID: I20061220000447
Provider NameSharon L Revan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306956248
PECOS PAC ID: 1759574544
Enrollment ID: I20101025001362
Provider NameApolinario B Mateo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114964145
PECOS PAC ID: 2668661810
Enrollment ID: I20110104000986
Provider NameKarunadevi Kandiah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114066172
PECOS PAC ID: 2668653320
Enrollment ID: I20110301000260
Provider NameShiny Mole Mathew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225241615
PECOS PAC ID: 2264617372
Enrollment ID: I20110504000358
Provider NameSusamma T Idicula
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720387343
PECOS PAC ID: 8224203617
Enrollment ID: I20111214000023
Provider NameRuth M Spinner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174785950
PECOS PAC ID: 2769659002
Enrollment ID: I20120127000091
Provider NameSonya R Choudhury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881947828
PECOS PAC ID: 4082851316
Enrollment ID: I20130506000242
Provider NameMaria Donna Concepcion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578705463
PECOS PAC ID: 8224341276
Enrollment ID: I20150720001827
Provider NameAmna B Buttar
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1396799094
PECOS PAC ID: 3678523610
Enrollment ID: I20160927001855
Provider NameKelli A Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376099937
PECOS PAC ID: 1658650783
Enrollment ID: I20161114001348
Provider NameShivani N Chopra
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1740620822
PECOS PAC ID: 1658506944
Enrollment ID: I20170518001765
Provider NameGloria Nimo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558603753
PECOS PAC ID: 7719254127
Enrollment ID: I20170606000511
Provider NameSanthini Namagiri
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1265872527
PECOS PAC ID: 3870887359
Enrollment ID: I20180111000060
Provider NameMatthew J Gayton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437690195
PECOS PAC ID: 1456691435
Enrollment ID: I20190329001358
Provider NameStephanie T Le
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1760802029
PECOS PAC ID: 5193944072
Enrollment ID: I20190418002195
Provider NameLiandra N Waisome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023451390
PECOS PAC ID: 7517198575
Enrollment ID: I20190812002697
Provider NameJungyun Basham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669023370
PECOS PAC ID: 9234561846
Enrollment ID: I20191120002427
Provider NameDebora Afezolli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487064523
PECOS PAC ID: 1052530748
Enrollment ID: I20200218001812
Provider NameLaura Belland
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1043697238
PECOS PAC ID: 0345584884
Enrollment ID: I20200219001715
Provider NameNgabo S Nzigira
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669960001
PECOS PAC ID: 0446503890
Enrollment ID: I20200916000991
Provider NameTeresa Kuo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194119545
PECOS PAC ID: 0244519726
Enrollment ID: I20200923003033
Provider NameKayra Diaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013523315
PECOS PAC ID: 0547673675
Enrollment ID: I20210111002367
Provider NameDarrell I Soler Irizarry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821549049
PECOS PAC ID: 2567852460
Enrollment ID: I20211208002782
Provider NameImran Yousuf Ali
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1093133134
PECOS PAC ID: 1951659598
Enrollment ID: I20211208003475
Provider NameTomoko Ikuine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033614631
PECOS PAC ID: 0648661413
Enrollment ID: I20220105001719
Provider NameChristian J Ramirez Haro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306306857
PECOS PAC ID: 5294158861
Enrollment ID: I20221208002908

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.