Provider Demographics
NPI:1447297775
Name:ALBERT, TODD JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:JAMES
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29234
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-9234
Mailing Address - Country:US
Mailing Address - Phone:631-329-6925
Mailing Address - Fax:631-329-6951
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:202-606-1004
Practice Address - Fax:212-606-1739
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274584207XS0117X, 207XS0117X
NJ25MA06316200207XS0117X
DEC10006805207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400125361Medicare PIN
PAE29934Medicare UPIN
NJ023144PFCMedicare PIN
NYA400102810Medicare PIN
NJ200043290Medicare PIN
PA583535GC6Medicare PIN
PA0405397000OtherIBC
PA200025818Medicare PIN
PA0459927OtherAETNA