Individual provider Active NPI

Odise Cenaj, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Boston, MA
National Provider Identifier
1063845550
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
293264 Issued in NY
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-8210
NPI assigned
Aug 20, 2013
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA10678100 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 293264 NY Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

PO Box 20452
Columbus, OH 43220-0452
Phone (614) 457-8180

Other practice location 1

160 N. Midland Ave., Floor 1
Nyack Hospital
Nyack, NY 10960-1912
Phone (845) 348-2270

Other identifiers 1

IdentifierTypeStateIssuer
05177500MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180413001206 NY Practitioner - Pathology 0244458750 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Harvard Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yevgeny Litvak Medical PLLCGroup PAC ID 7911045364, 2 clinicians
Laboratory Medicine Associates, LLPGroup PAC ID 6901878560, 4 clinicians
Westchester Putnam Gastroenterology PCGroup PAC ID 9537059845, 14 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

1460 W 5TH St
Suite M1
Brooklyn, NY 11204-4071
Phone (718) 234-2233

160 N Midland Ave
Pathology Dept
Nyack, NY 10960-1912
Phone (845) 353-4260

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

667 Stoneleigh Ave
Carmel, NY 10512-2454
Phone (845) 278-5223

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10678100NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Island Gastroenterology Associates PC CurrentSince May 6, 2019 Accepting new patients
New York University CurrentSince Jun 2, 2018 Accepting new patients
New York University Anatomic Pathology & Clinical Pathology CurrentSince Jun 2, 2018 Accepting new patients
Yevgeny Litvak Medical PLLC CurrentSince Nov 15, 2019 Accepting new patients
Laboratory Medicine Associates, LLP Anatomic Pathology & Clinical Pathology CurrentSince Apr 30, 2021 Accepting new patients
Westchester Putnam Gastroenterology P.C. CurrentSince Mar 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Apr 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Clinical Pathology CurrentSince Apr 1, 2023 Accepting new patients

Locations

1460 W 5th St
Ste M1
Brooklyn, NY 11204
Phone (718) 234-2233

667 Stoneleigh Ave
Ste 201A
Carmel, NY 10512
Phone (845) 278-5223

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

141 Washington Ave
Ste 204
Lawrence, NY 11559
Phone (516) 341-0990

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

160 N Midland Ave
Fl 1
Nyack, NY 10960
Phone (845) 348-2270

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGCDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJIHCA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1063845550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-457-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N. Midland Ave., Floor 1",
            "address_2": "Nyack Hospital",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601912",
            "country_code": "US",
            "telephone_number": "845-348-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENAJ",
        "first_name": "ODISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA10678100",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "293264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05177500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.