Enrique Pastoriza-Munoz, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

146861 Issued in NY

Practice address

79 Middleville Road
VA Medical Center - 111R
Northport, NY 11768

Phone

(631) 261-4400

Fax

(631) 544-5315

NPI assigned

Jul 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1063676773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE ROAD 111R",
            "address_2": "VA MEDICAL CENTER",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-261-4400",
            "fax_number": "631-544-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE ROAD",
            "address_2": "VA MEDICAL CENTER - 111R",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-261-4400",
            "fax_number": "631-544-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORIZA-MUNOZ",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "146861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Victoria Papillo, LCSW
• Kalpana A. Parghi
• Rushang Mitesh Parikh, M.D.
• Joseph Parisi, RRT
• Diane Kathleen Pastor, N.P.
• Katie Patel, M.D.
• Tejas Bharat Patel, DDS
• Shawn Paul, PHARMD
• Susan Claire Perillo, R.D.
• Roger Perrone, M.D.

• Nephrology Physician in Northport, NY
• Providers in Northport, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.