Active NPI
Janis A Pastena, MD
- Surgery Physician
- Valhalla, NY
National Provider Identifier
1013095694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 146287
- Practice address
- 100 Woods Road
Nymc Dept. of Surgery, Munger Pavilion
Valhalla, NY 10595 - Phone
- (914) 261-7319
- Fax
- (914) 593-1802
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 146287 | NY | Primary |
Addresses
Primary practice location
100 Woods Road
Nymc Dept. of Surgery, Munger Pavilion
Valhalla, NY 10595
Mailing address
100 Woods Road
Nymc Dept. of Surgery, Munger Pavilion
Valhalla, NY 10595
Phone (914) 261-7319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01223752 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physicians and Surgeons, PLLC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1013095694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS ROAD",
"address_2": "NYMC DEPT. OF SURGERY, MUNGER PAVILION",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-261-7319",
"fax_number": "914-593-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS ROAD",
"address_2": "NYMC DEPT. OF SURGERY, MUNGER PAVILION",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-261-7319",
"fax_number": "914-593-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTENA",
"first_name": "JANIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "146287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01223752",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.