DR. SETH MARTIN BLACK DDS NPI 1093707036
Oral & Maxillofacial Surgery in New York, NY
About SETH BLACK
Seth Black is a provider established in New York, New York and his medical specialization is oral & maxillofacial surgery. The NPI number of Seth Black is 1093707036 and was assigned on August 2005. The practitioner's primary taxonomy code is 204E00000X with license number 033118 (NY). The provider is registered as an individual and his NPI record was last updated March 2022.
Seth Black is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Seth Black is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1093707036 |
| Provider Name | DR. SETH MARTIN BLACK DDS |
| Provider Location Address | 30 E 60TH ST STE 1401 NEW YORK, NY 10022 |
| Provider Mailing Address | 30 E 60TH ST STE 1401 NEW YORK, NY 10022 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 08-16-2005 |
| Last Update Date | 03-31-2022 |
Primary Taxonomy
| Taxonomy Code | 204E00000X |
| Classification | Oral & Maxillofacial Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 033118 |
| License State | NY |
| Taxonomy Description | Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Business Address
DR. SETH MARTIN BLACK DDS
30 E 60TH ST STE 1401
NEW YORK, NY
ZIP 10022
Phone: (212) 593-2930
Fax: (212) 755-5572
Mailing Address
DR. SETH MARTIN BLACK DDS
30 E 60TH ST STE 1401
NEW YORK, NY
ZIP 10022
Phone: (212) 593-2930
Fax: (212) 755-5572
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 00707135 | MEDICAID (05) | NY |
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801979240 | DR. CLAUDIA BETH KAPLAN DDS Individual | Oral & Maxillofacial Surgery | 30 E 60TH ST STE 1401 NEW YORK, NY 10022 (212) 755-5570 |
| 1568655371 | HARRISON LON CHEN D.D.S., PC Individual | Dentist (Oral and Maxillofacial Surgery) | 30 E 60TH ST STE 1401 NEW YORK, NY 10022 (212) 755-5570 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.