Active NPI
Ivana Santopietro, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bronxville, NY
National Provider Identifier
1255513255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 247125
- Practice address
- 55 Palmer Ave
Bronxville, NY 10708-3403 - Phone
- (914) 787-3266
- Fax
- (914) 787-3269
- NPI assigned
- Nov 30, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 25MA08170900 | NJ | |
| Clinical Medical Laboratory | 291U00000X | 25MA08170900 | NJ | |
| Clinical Medical Laboratory | 291U00000X | 247125 | NY | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 247125 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 247125 | NY | Primary |
Addresses
Primary practice location
55 Palmer Ave
Bronxville, NY 10708-3403
Mailing address
17 Kraft Ave
Bronxville, NY 10708-4103
Phone (914) 771-6629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247125 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
| 25MA08170900 | NJ | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Calvary Hospital Inc | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Calvary Hospital Inc | Current | Accepting new patients | |
| Gastroenterology and Liver Associates of Riverdale PC | Current | Accepting new patients |
Locations
3333 Henry Hudson Pkwy
Ste 1
Bronx, NY 10463
Phone (718) 796-1000
1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
Organizations & group practices 5
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.
-
- Special Hospital
- Bronx, NY
- NPI 1003858390
-
- Long Term Care Hospital
- Bronx, NY
- NPI 1528495306
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1023272846
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1255513255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 KRAFT AVE",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107084103",
"telephone_number": "914-771-6629",
"fax_number": "914-771-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PALMER AVE",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107083403",
"telephone_number": "914-787-3266",
"fax_number": "914-787-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOPIETRO",
"first_name": "IVANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NJ",
"license": "25MA08170900",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NJ",
"license": "25MA08170900",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": "247125",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NY",
"license": "247125",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "247125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronxville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.