IRA BIRNBAUM MD
NPI 1760476220
Internal Medicine - Addiction Medicine in Staten Island, NY

Q: What is Ira Birnbaum's NPI number?

The NPI number for Ira Birnbaum is 1760476220. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Ira Birnbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Ira Birnbaum was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 09, 2005

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(917) 949-5833 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Ira Birnbaum Md NPPES

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

IRA BIRNBAUM MD (NPI 1760476220) is an individual addiction medicine provider in Staten Island, New York, licensed in New York (190752) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1760476220

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameIRA BIRNBAUMCredential: MD

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address3 Mayfair CtEast Brunswick, NJ 08816-3508 · (732) 651-7224

Phone(917) 949-5833

Sole ProprietorNo

Enumeration DateSeptember 9, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1760476220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in NY · 190752

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 190752 (NY)

475 SEAVIEW AVE, Staten Island, NY 10305

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Other Identifiers 1

Medicaid01420584NY

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.

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