Organization Active NPI

Amsterdam Medical Practice, PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1083981344
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190569 Issued in NY
Legal business name
AMSTERDAM MEDICAL PRACTICE, PLLC
Practice address
2360 Amsterdam Ave Ste M1
New York, NY 10033-7362
Phone
(212) 923-0559
Fax
(212) 740-4930
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Eduardo L Pignanelli, M.D.NPI 1659354983
Title
Medical Director
Phone
(212) 923-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 190569 NY Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

2360 Amsterdam Ave Ste M1
New York, NY 10033-7362

Mailing address

2360 Amsterdam Ave Ste M1
New York, NY 10033-7362
Phone (212) 923-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150513000682 NY Part B Supplier - Clinic/Group Practice 0345560454 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2143505Amsterdam Medical Practice, PLLC2360 Amsterdam Avenue - Ste M1, New York, NY 10033Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

2360 Amsterdam Ave
#M1
New York, NY 10033
Phone (212) 923-0559

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21268/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1083981344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE STE M1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337362",
            "telephone_number": "212-923-0559",
            "fax_number": "212-740-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE STE M1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337362",
            "telephone_number": "212-923-0559",
            "fax_number": "212-740-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSTERDAM MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "PIGNANELLI",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-923-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190569",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.