Individual provider Active NPI

Michael A Fiorillo, MD

  • Plastic Surgery Physician
  • Pearl River, NY
National Provider Identifier
1275520991
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
196715 Issued in NY
Practice address
150 S Pearl St
Pearl River, NY 10965-2253
Phone
(845) 623-6141
Fax
(845) 623-1998
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA06367300 NJ
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 196715 NY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 25MA06367300 NJ
Plastic Surgery Physician 208200000X 196715 NY Primary

Addresses

Primary practice location

150 S Pearl St
Pearl River, NY 10965-2253

Mailing address

150 S Pearl St
Pearl River, NY 10965-2253
Phone (845) 623-6141

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06367300NJMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgery Center, LLC CurrentSince Jan 16, 2009 Accepting new patients

Locations

150 S Pearl St
Ste 101
Pearl River, NY 10965
Phone (845) 623-6141

150 S Pearl St
Pearl River, NY 10965
Phone (845) 623-6141

Interoperability endpoints

  • Direct secure messaging: mfiorillo189659@ahs.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1275520991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PEARL ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652253",
            "telephone_number": "845-623-6141",
            "fax_number": "845-623-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PEARL ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652253",
            "telephone_number": "845-623-6141",
            "fax_number": "845-623-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORILLO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA06367300",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "196715",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA06367300",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "196715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

Verify at the official NPI Registry.