• Reappointment Application Packets - DUE FEBRUARY 1, 2008
  
  

Appointment/Reappointment Applications

2008 Appointment Application (Med Staff/Prof Assoc Staff)

2008 Appointment Application (Physician Assistant Staff)

Checklist for Initial Appointment to the Medical Staff (Physicians)

Checklist for Initial Appointment to the Professional Associate Staff

Reappointment Checklist for Physicians

Fees for Delinquent Reappointments

Application for temporary privileges

Checklist for temporary privileges

Confidentiality Agreement

Application for observer privileges

Checklist for observer privileges

Delineation of Privileges for PAs

Request for Additional Privileges for PAs

Nursing Credentialing Forms

Nursing Credentialing Services

Delineation of Clinical Privileges

Billing Compliance Form

HIPAA Training Certificates:  For information regarding this requirement, please contact 212.342.0059

National Provider Identificatier (NPI): Can be obtained by visiting https://nppes.cms.hhs.gov/NPPES/Welcome.do

Physician Education

Child Abuse Certificate

Clinical Laboratory Services-Point of Care Testing

Infection Control

Insertion & Maintenance of Central Venous Catheters

Laser Safety Training for NYP-Credentialed Physicians

Moderate Sedation and Analgesia Training Course

MRI Safety Training

Organizational Readiness

Risk Management Course

X-ray Fluoroscopy Training for Physicians

Infection Control and Child Abuse

ACLS/BLS Schedule - For information regarding this requirement, please contact: (212) 746-0885.

WebCis Application - For information regarding this requirement, please contact (212) 305-1938.

Useful Links

Medical Staff Appointment/Reappointment Forms

Moderate Sedation and Analgesia Request Form

Required Physician Courses Online

NYS License Applications

NYS License Verifications Online

American Board of Internal Medicine

DEA Forms and Applications Online

MLMIC Applications

https://www.mlmic.com/PhysicianRegistration/prelogon.jsp (Risk Management Course)

WebCis Application

Center for Continuing Education

NYPH Website

NYPH Infonet Website