Active NPI
Patricio Millar Vernetti, MD
- Neurology Physician
- New York, NY
National Provider Identifier
1124639950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 337958
- Practice address
- 530 1St Ave Ste 9Q
New York, NY 10016-6402 - Phone
- (212) 263-7225
- NPI assigned
- Aug 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 337958 | NY | Primary |
Addresses
Primary practice location
530 1St Ave Ste 9Q
New York, NY 10016-6402
Mailing address
220 Malt Dr Apt 1405
Long Island City, NY 11101-6996
Phone (201) 637-5745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337958 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dysautonomia Center LLP | Neurology | Current | Accepting new patients |
Locations
530 1st Ave
Ste 9Q
New York, NY 10016
Phone (212) 263-7225
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1124639950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MALT DR APT 1405",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111016996",
"telephone_number": "201-637-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 1ST AVE STE 9Q",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAR VERNETTI",
"first_name": "PATRICIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "337958",
"primary": true
}
],
"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 Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.