Active NPI
Irene Petrocelli
- Acute Care Nurse Practitioner
- New York, NY
National Provider Identifier
1053039701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F432390-01
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F432390-01 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
40 Birch LN
Short Hills, NJ 07078-3219
Phone (347) 677-4236
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ip2373@cumc.columbia.edu | Direct | Columbia University Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.79 of 100
- Quality
- 80.63
- Improvement activities
- 40
- Cost
- 49.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F432390-01 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Neurology Group | Current | Accepting new patients | |
| Mskcc Surgery Group | Current | Accepting new patients | |
| Mskcc Clinical Practice Plan | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current | Accepting new patients | |
| Mskcc Radiology Group | Current | Accepting new patients | |
| Memorial Anesthesiology Group | Current | Accepting new patients | |
| Memorial Cardiopulmonary Group | Current | Accepting new patients | |
| Memorial Infectious Disease Group | Current | Accepting new patients | |
| Mskcc Clinical Practice Plan | Current | Accepting new patients | |
| Memorial Clinical Physiology Group | Current | Accepting new patients |
Locations
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ipetrocelli29915@mskcc.direct-ci.com
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1679544241
-
- Nephrology Physician
- New York, NY
- NPI 1043281512
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1891766366
-
- Infectious Disease Physician
- New York, NY
- NPI 1619948189
-
- Neurology Physician
- New York, NY
- NPI 1538130190
-
- Medical Oncology Physician
- New York, NY
- NPI 1588789341
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1639159692
-
- Surgical Oncology Physician
- New York, NY
- NPI 1699766261
-
- Medical Oncology Physician
- New York, NY
- NPI 1245945021
-
- Urology Physician
- New York, NY
- NPI 1306096508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1053039701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BIRCH LN",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070783219",
"telephone_number": "347-677-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROCELLI",
"first_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F432390-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ip2373@cumc.columbia.edu",
"affiliation": "Y",
"endpointDescription": "professional email",
"affiliationName": "Columbia University Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Phone",
"address_1": "161 Fort Washington Ave Fl 12",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.