Individual provider Active NPI

Lorenzo Cenci

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
National Provider Identifier
1255911558
Registry record updated Apr 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone
(718) 960-3796
NPI assigned
Apr 11, 2021
Last updated
Apr 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4422 3Rd Ave
Bronx, NY 10457-2545

Mailing address

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-3796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240731001773 CT Practitioner - Podiatry 1759828411 Reassigns benefits to 1 organization
I20260609002108 NY Practitioner - Podiatry 1759828411

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, shared by 7 NPIs, 32 clinicians
Family Foot and Ankle Specialists LLCGroup PAC ID 6901183714, 3 clinicians

Practice addresses (Care Compare)

2330 Union Blvd
Suite 3
Islip, NY 11751-3172
Phone (631) 277-8900

2409 Main St
Bridgeport, CT 06606-5324
Phone (203) 334-6955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue230
Removal of nail tissue93
Removal or shaving of skin growth53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1176CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Specialists LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

2409 Main St
Bridgeport, CT 06606
Phone (203) 334-6955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14824/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lorenzo.cenci.1@14824.direct.athenahealth.com
  • Direct secure messaging: lorenzo.cenci.1@18107.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1255911558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENCI",
        "first_name": "LORENZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.