Organization Active NPI

Paul Pezzino, MD of Ny P.C.

  • Physical Medicine & Rehabilitation Physician
  • Howard Beach, NY
National Provider Identifier
1114279742
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
266310 Issued in NY
Legal business name
PAUL PEZZINO, MD OF NY P.C.
Practice address
9117 157TH Ave
Howard Beach, NY 11414
Phone
(718) 564-4031
Fax
(203) 518-4889
NPI assigned
Oct 5, 2012
Last updated
Feb 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Dr. Paul PezzinoNPI 1962647743
Title
M.D.
Phone
(718) 564-4031

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 266310 NY Primary

Addresses

Primary practice location

9117 157TH Ave
Howard Beach, NY 11414

Mailing address

330 Main St FL 2
Hartford, CT 06106-1851
Phone (203) 518-4888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1114279742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061851",
            "telephone_number": "203-518-4888",
            "fax_number": "203-518-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 157TH AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-564-4031",
            "fax_number": "203-518-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PEZZINO, MD OF NY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "PEZZINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-564-4031",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "266310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.