Mskcc Clinical Practice Plan
Organization Active NPI Urology Physician · New York, NY
NPI 1306096508 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1306096508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- MSKCC CLINICAL PRACTICE PLAN
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- Sep 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Salvatore M Andreozzi
- Title
- Associate Director
- Phone
- (646) 227-3751
Other NPIs on the same Medicare enrollment 1
Practitioners 228
-
Michelle Abboud, N.P.
-
Naveed Ahmed, DO
-
Ashley Taylor Ames, FNP
-
Marci Andrejko, NP
-
Alicia Assini, FNP
-
Anne Austin, MSN, BSN, RN, AGACNP
-
Audra Bacigalupo, AGPCNP-BC
-
Christina Baldwin, N.P.
-
Juliet N Barker, MBBS
-
Melissa Ann Barzola, ACNP
-
Melissa Bassis, NP
-
Sara Bekele, AGACNP-BC
-
Amparo G Camacho, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070711000565 | NY | Part B Supplier - Clinic/Group Practice | 4981704541 |
Receives reassigned benefits from 296 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY; West Harrison, NY; Uniondale, NY; Hauppauge, NY; Commack, NY |
| O20240522000810 | NJ | Part B Supplier - Clinic/Group Practice | 4981704541 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Basking Ridge, NJ; Middletown, NJ; Montvale, NJ |
National Provider Directory
Locations
300 E 66th St
New York, NY 10065
Phone (347) 798-8856
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
633 3Rd Ave
New York, NY 10017-6706
Other names
- Sexual Medicine Program
Other providers in New York, NY
- MSK-Guttman Diagnostic Center
- Mskcc
- Mskcc
- Mskcc
- Mskcc Clinical Practice Plan
- Mskcc Clinical Practice Plan
- Mskcc Integrative Medicine Group
- Mskcc Radiology Group
- Mskcc Surgery Group
- MSP Psychology PLLC
All providers in New York, NY · Urology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.