Individual provider Active NPI

Christopher Prezzano, PA

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1063448496
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
010549 Issued in NY
Practice address
737 Park Ave Apt 1a
New York, NY 10021-4264
Phone
(845) 857-4994
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 010549 NY Primary

Addresses

Primary practice location

737 Park Ave Apt 1a
New York, NY 10021-4264

Mailing address

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 483-6217

Other practice location 1

404 Washington Ave Ste 120
Miami Beach, FL 33139-6651
Phone (212) 794-5096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010003503 CT Practitioner - Physician Assistant 3072539485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010549NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Saint Francis Hospital / Medicine Past Accepting new patients
Nuvance Health Medical Practice PC Surgical Past Accepting new patients
J.L.Glashow M.D.,P.C. PastSince Jan 15, 2023 Accepting new patients

Locations

6 Greenwich Office Park
#40
Greenwich, CT 06831
Phone (203) 869-1145

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Organizations & group practices 4

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1063448496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-483-6217",
            "fax_number": "845-483-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 PARK AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214264",
            "telephone_number": "845-857-4994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Washington Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331396651",
            "country_code": "US",
            "telephone_number": "212-794-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREZZANO",
        "first_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.