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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: July 19, 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
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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.

MR. CARL ANTHONY KIRTON NP
Nurse Practitioner (Adult Health)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-3921
TAMARA LOUISE KALIR MD, PHD
Pathology (Anatomic Pathology)
1 GUSTAVE L LEVY PL, PATHOLOGY
NEW YORK, NY 10029
New York County (212) 241-3784
DR. LIANE DELIGDISCH MD
Pathology (Anatomic Pathology)
1 GUSTAVE L LEVY PL, PATHOLOGY, ANNENBERG 15-92
NEW YORK, NY 10029
New York County (212) 241-9114
GEORGE MICHAEL KLEINMAN MD
Pathology (Neuropathology)
1 GUSTAVE L LEVY PL, PATHOLOGY, BOX 1194
NEW YORK, NY 10029
New York County (212) 731-7772
PATRICK ALEXANDER LENTO MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 GUSTAVE L LEVY PL, PATHOLOGY, BOX 1194
NEW YORK, NY 10029
New York County (212) 731-7771
SHABNAM M. JAFFER MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-1951
ROBERT GEORGE PHELPS MD
Pathology (Dermatopathology)
1 GUSTAVE L LEVY PL, 3-08 ANNENBERG BUILDING
NEW YORK, NY 10029
New York County (212) 241-6064
MARGRET MAGID MD
Pathology (Pediatric Pathology)
1 GUSTAVE L LEVY PL, PATHOLOGY, ANNENBERG 15-92
NEW YORK, NY 10029
New York County (212) 241-7459

Frequently Asked Questions

What is Bethany Slater's NPI number?

The NPI number assigned to this healthcare provider is 1669668869, enumerated as an "individual" on September 20, 2007.

Where is the provider located?

The provider is located at 1 GUSTAVE L LEVY PL NEW YORK, NY 10029 and the phone number is (650) 804-4140.

What is the provider's specialty?

Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.