Pisarenko Medical PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PISARENKO MEDICAL PLLC

Practice address

500 Mamaroneck Ave Ste 211
Harrison, NY 10528-1600

Phone

(914) 771-7373

NPI assigned

Jun 2, 2025

Organization subpart

No

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

Authorized official

Name

Vadim Pisarenko, MDNPI 1609020981

Title

Owner

Phone

(914) 771-7373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Vadim Pisarenko, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Harrison, NY
  • NPI 1609020981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1093608663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281600",
            "telephone_number": "914-771-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281600",
            "telephone_number": "914-771-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISARENKO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "PISARENKO",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-771-7373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharamcy Center Inc
• Imani Pierre
• Danielle Pignatelli
• Nicole Pilgrim
• Ashley Pereira Pinto, LMSW
• Vadim Pisarenko, M.D.
• Michele Pitale, M.D.
• Plastic Surgery of Westchester
• Amy Lauren Podolak, MA CCC-SLP
• Brian Potash, LMHC-LP

• Plastic and Reconstructive Surgery Physician in Harrison, NY
• Providers in Harrison, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.