Individual provider Active NPI

Ivana Santopietro, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bronxville, NY
National Provider Identifier
1255513255
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
247125 Issued in NY
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

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247125NYMDAnatomic Pathology & Clinical Pathology Physician
25MA08170900NJMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Dec 27, 2023 Accepting new patients
Calvary Hospital Inc CurrentSince Feb 6, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Dec 27, 2023 Accepting new patients
Calvary Hospital Inc CurrentSince Feb 6, 2023 Accepting new patients
Gastroenterology and Liver Associates of Riverdale PC CurrentSince Aug 1, 2012 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.

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

Verify at the official NPI Registry.