John Thomas Pellicone, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

150985 Issued in NY

Practice address

1901 1St Ave RM 1B14
Metropolitan Hospital Center-Chief Medical Officer
New York, NY 10029-7404

Phone

(212) 423-8131

Fax

(212) 423-8408

NPI assigned

Jun 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpellicone838480@nychhc.direct-ci.com

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.

• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383
  Medicare reassignment NPD
• State of New York

  • Specialist
  • West Haverstraw, NY
  • NPI 1508987348
  NPD

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1104828169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE RM 1B14",
            "address_2": "METROPOLITAN HOSPITAL CENTER-CHIEF MEDICAL OFFICER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-8131",
            "fax_number": "212-423-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE RM 1B14",
            "address_2": "METROPOLITAN HOSPITAL CENTER-CHIEF MEDICAL OFFICER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-8131",
            "fax_number": "212-423-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLICONE",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "150985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00964943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roydon Anthony Pellew
• Andrew J Pellicano
• Kristin Pellicano, FNP
• Nicholas A Pelliciari, RPAC
• Lorenza Pellicioli, LCSW
• Debra Pellish, LMSW
• Nia Suzanne Pellone, DO
• Janai M Pellot
• Stephanie Eisenman Pelosi, LCSW
• Jenna Pelsinger

• Pulmonary Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.