Individual provider Active NPI

Robert Anthony Prestiano Jr., MD

  • Gastroenterology Physician
  • Peekskill, NY
National Provider Identifier
1245215110
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
186465 Issued in NY
Practice address
2 Stowe Rd Ste 5
Caremount Medical PC
Peekskill, NY 10566-2582
Phone
(914) 241-1050
Fax
(914) 739-5172
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186465 NY
Gastroenterology Physician 207RG0100X 186465 NY Primary

Addresses

Primary practice location

2 Stowe Rd Ste 5
Caremount Medical PC
Peekskill, NY 10566-2582

Mailing address

110 S Bedford Rd
Caremount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050

Other identifiers 1

IdentifierTypeStateIssuer
01367046MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060614000068 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6901818897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 15, 2012 Accepting new patients
Optum Medical Care, P.C. Gastroenterology CurrentSince Jan 15, 2012 Accepting new patients
Tri-State Retina P.C. Past Accepting new patients
Alexandr Weinstein Medical P C PastSince Jan 24, 2013 Accepting new patients

Locations

2084 E Main St
Cortlandt Manor, NY 10567
Phone (914) 739-4800

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

2 Stowe Rd
Ste 5
Peekskill, NY 10566
Phone (914) 699-2020

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: rap9078@direct.weillcornell.org
  • Direct secure messaging: robert.prestiano@direct.hvhc.org

Organizations & group practices 4

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1245215110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "address_2": "CAREMOUNT MEDICAL PC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-241-1050",
            "fax_number": "914-739-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STOWE RD STE 5",
            "address_2": "CAREMOUNT MEDICAL PC",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-241-1050",
            "fax_number": "914-739-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTIANO",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186465",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "186465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01367046",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.