DR. JOHN DAVID PAULSEN JR. M.D.
NPI 1730567538
Pathology - Anatomic Pathology & Clinical Pathology in New York, NY

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
1468 MADISON AVENUE, ANNENBERG SUITE 15-38A, NEW YORK, NY 10029(212) 241-4107 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John David Paulsen Jr. M.d. NPPES

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

DR. JOHN DAVID PAULSEN JR. M.D. (NPI 1730567538) is an individual anatomic pathology & clinical pathology provider in New York, New York, licensed in New York (296192) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of University Of Florida College Of Medicine (2015).

NPPES Registry Identity

NPI1730567538
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JOHN DAVID PAULSEN JR.Credential: M.D.
Location Address1468 MADISON AVENUE, ANNENBERG SUITE 15-38ANew York, NY 10029-6574
Mailing Address1468 Madison Avenue, Annenberg Suite 15-38aNew York, NY 10029-6574 · (212) 241-4107
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2015
Enumeration DateMay 12, 2015
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
NPI 1730567538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NY · 296192
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1468 MADISON AVENUE, New York, NY 10029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John David Paulsen Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840622635
PECOS Enrollment IDI20200831001908
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,371 services486 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
631 services234 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
334 services200 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
195 services134 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
193 services52 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
169 services110 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Magnetic Resonance Imaging (MRI))
1468 MADISON AVENUE, ANNENBERG B-1 MT SINAI HOSP JACK MARTIN FUND CLINIC
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Occupational Therapist (Hand)
1468 MADISON AVENUE
NEW YORK, NY 10029
Occupational Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Internal Medicine
1468 MADISON AVENUE
NEW YORK, NY 10029

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 John Paulsen's NPI number?

The NPI number for John Paulsen is 1730567538. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is John Paulsen located?

John Paulsen practices at 1468 Madison Avenue Annenberg Suite 15-38a, New York, NY 10029. The listed phone number is (212) 241-4107.

What is John Paulsen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is John Paulsen enrolled in Medicare?

Yes. John Paulsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Paulsen affiliated with any hospitals?

According to CMS data, John Paulsen is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for John Paulsen was last updated on July 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.