1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Surgery
  6. NPI Profile

BETHANY J SLATER MD, MBA
NPI 1669668869
Surgery - Pediatric Surgery in New York, NY

Active since September 20, 2007PECOS Enrolled
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(650) 804-4140 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2025, Oct 24, 2022, May 19, 2022 and 4 more (7 updates tracked since 2018).

About Bethany J Slater Md, Mba NPPES

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

BETHANY J SLATER MD, MBA (NPI 1669668869) is an individual pediatric surgery provider in New York, New York, licensed in New York (338344) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2004).

NPPES Registry Identity

NPI1669668869
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameBETHANY J SLATERCredential: MD, MBA
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address188 E 70th St Apt 8cNew York, NY 10021-5168
Phone(650) 804-4140
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2004
Enumeration DateSeptember 20, 2007
Last NPPES UpdateAugust 16, 20257 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1669668869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in NY · 338344✔ Licensed in IL · 036142224
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1 GUSTAVE L LEVY PL, New York, NY 10029
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany J Slater Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446565501
PECOS Enrollment IDI20251016001476, I20251223003300
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 20

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

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 Bethany Slater's NPI number?

The NPI number for Bethany Slater is 1669668869. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Bethany Slater located?

Bethany Slater practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (650) 804-4140.

What is Bethany Slater's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Bethany Slater enrolled in Medicare?

Yes. Bethany Slater is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Slater was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.