DR. JOHN DAVID PAULSEN JR. M.D.
NPI 1730567538
Pathology - Anatomic Pathology & Clinical Pathology in New York, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show John Paulsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 1,067 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
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.
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, NYMount Sinai St Luke's Roosevelt Hospital
Acute Care Hospitals · New York, NYPhysician 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.
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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.
Which organizations bill Medicare for John Paulsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Paulsen reassigns Medicare benefits to 2 organizations: Fpa Hospital Based (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Paulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Dr. John David Paulsen Jr., M.D. · NPI 1730567538
Anatomic Pathology & Clinical Pathology physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 12, 2015.
## Identity
- **NPI:** 1730567538 (Entity type: Individual)
- **Enumerated:** May 12, 2015
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 296192 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1468 MADISON AVENUE, ANNENBERG SUITE 15-38A, New York, NY 10029-6574
- **Phone:** (212) 241-4107
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fpa Hospital Based (NPI 1841531795, New York, NY); Icahn School Of Medicine At Mount Sinai (NPI 1104162700, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 2015
## Record status
- **NPPES last updated:** July 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730567538) · Data from the CMS NPPES public registry.