Active NPI
Allison Ruth Pescovitz, M.D.
- Surgery Physician
- Jamaica, NY
National Provider Identifier
1194168534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2952111
- Practice address
- 8268 164TH St
Jamaica, NY 11432-1121 - Phone
- (718) 883-4640
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2952111 | NY | Primary |
Addresses
Primary practice location
8268 164TH St
Jamaica, NY 11432-1121
Mailing address
8268 164TH St
Jamaica, NY 11432-1121
Phone (718) 883-4640
Other practice location 1
4802 10th Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916
Phone (718) 283-6879
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190730002475 | NY | Order and Referring Only - General Surgery | 6103152053 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2952111 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- apescovitz391342@nychhc.direct-ci.com
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.
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1194168534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8268 164TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321121",
"telephone_number": "718-883-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8268 164TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321121",
"telephone_number": "718-883-4640"
}
],
"practiceLocations": [
{
"address_1": "4802 10th Ave",
"address_2": "Maimonides Medical Center",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112192916",
"country_code": "US",
"telephone_number": "718-283-6879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PESCOVITZ",
"first_name": "ALLISON",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "2952111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
- Tanuja Christine Persaud
- Personal Touch Home Care of New York, Inc.
- Personal Touch Home Care of New York, Inc.
- Personal Touch Home Care of Ny Inc
- Personal-Touch Home Care of N.Y. Inc.
- Jacqueline Michele Pestano, OTR/L
- Wilhelmina Peters
- Marysee Peterson, LPN
- Sachidanand Rao Peteru, M.D.
- Margaret A Petrosino, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.