Individual provider Active NPI

Thomas C Fiorentino, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1245265669
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
118631 Issued in NY
Practice address
964 North Broadway
Yonkers, NY 10701
Phone
(914) 969-0770
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 118631 NY Primary

Addresses

Primary practice location

964 North Broadway
Yonkers, NY 10701

Mailing address

1010 North Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Other identifiers 1

IdentifierTypeStateIssuer
00522683MedicaidNY

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
I20050707000848 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5991741209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
New York Medical College, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai School of Medicine of New York UniversityGroup PAC ID 6709919863, 30 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Yonkers, NY 10701-1112
Phone (914) 968-3535

750 Kimball Ave
Yonkers, NY 10704-1531
Phone (914) 237-6763

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • VNS Westchester Chha Home health agency, White Plains, NY, CCN 337146
  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118631NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University CurrentSince May 25, 2010 Accepting new patients
Mount Sinai School of Medicine of New York University Internal Medicine CurrentSince May 25, 2010 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

984 N Broadway
Yonkers, NY 10701
Phone (914) 751-5432

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

984 N Broadway
Ste 303
Yonkers, NY 10701
Phone (914) 696-0770

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1245265669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-968-3535",
            "fax_number": "914-968-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 NORTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-969-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORENTINO",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "118631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00522683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.