Elaine Marion Vernetti, M.D.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

154364 Issued in NY

Practice address

1 Parade LN
Rye Brook, NY 10573-5519

Phone

(914) 400-8411

Fax

(914) 400-8411

NPI assigned

Dec 18, 2012

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine Vernetti Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1205172327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARADE LN",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105735519",
            "telephone_number": "914-400-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARADE LN",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105735519",
            "telephone_number": "914-400-8411",
            "fax_number": "914-400-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNETTI",
        "first_name": "ELAINE",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "154364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "VERNETTI",
            "credential": "M.D., MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Unified Creative Programs, Inc
• Unified Creative Programs, Inc
• Carlos Daniel Urmacher, MD
• Preetha Varkey, OTR/L
• Pasquale Patrick Vascimini, DDS
• Mary G. Versfelt, M.D.
• Eleni Vinieris, D.M.D.
• Catherine Vnenchak
• Sandra Wade-Johnson
• Jiyi Wang, M.D.

• Community Health Worker in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.