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DR. SELENE BANTZ M.D.
NPI 1619111366
Allergy & Immunology in New York, NY

Active since April 24, 2009PECOS Enrolled
10 BARCLAY ST, STE 29D, NEW YORK, NY 10007(917) 765-5960 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Selene Bantz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SELENE BANTZ M.D. (NPI 1619111366) is an individual allergy & immunology provider in New York, New York, licensed in Connecticut (1619111366) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619111366
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. SELENE BANTZCredential: M.D.
Location Address10 BARCLAY ST, STE 29DNew York, NY 10007-2714
Mailing Address10 Barclay St, Suite 29dNew York, NY 10007-2714 · (609) 682-0218 · Fax (401) 340-1649
Phone(917) 765-5960
Sole ProprietorNo
Enumeration DateApril 24, 2009
Last NPPES UpdateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1619111366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in CT · 1619111366
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 1619111366 (CT)
10 BARCLAY ST, New York, NY 10007
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1333 Cedar St # S-215, Post Office Box 208013New Haven, CT 06510-3206 · Phone (203) 785-4170 · Fax (203) 785-3229
Location 2320 Jackson RdMedford, NJ 08055-8483 · Phone (609) 682-0218 · Fax (609) 953-9085

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Selene Bantz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH WARD
Rehabilitation Practitioner
10 BARCLAY ST
NEW YORK, NY 10007
New York County (931) 548-6644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selene Bantz's NPI number?

The NPI number for Selene Bantz is 1619111366. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Where is Selene Bantz located?

Selene Bantz practices at 10 Barclay St Ste 29D, New York, NY 10007. The listed phone number is (917) 765-5960.

What is Selene Bantz's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Selene Bantz enrolled in Medicare?

Yes. Selene Bantz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Selene Bantz was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.