Active NPI
Marie Cavuoto Petrizzo, MD, MSED
- Allergy & Immunology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 223738
- Practice address
- 865 Northern Blvd Ste 101
Great Neck, NY 11021-5310 - Phone
- (516) 622-5070
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 223738 | NY | |
| Allergy & Immunology Physician | 207K00000X | 223738 | NY | Primary |
Addresses
Primary practice location
865 Northern Blvd Ste 101
Great Neck, NY 11021-5310
Mailing address
500 Hofstra University # W222
Hempstead, NY 11549-5000
Phone (516) 463-7476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02684022 | Medicaid | NY |
Other names 1
- Dr. Marie Cavuoto
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Allergy & Immunology | Current | Accepting new patients |
Locations
100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
865 Northern Blvd
Ste 101
Great Neck, NY 11021
Phone (516) 622-5070
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
2 Lincoln Ave
Ste 302
Rockville Centre, NY 11570
Phone (516) 536-0385
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- mariecavuotopetrizzo@nslijmedgr.allscriptsdirect.net
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1326132473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HOFSTRA UNIVERSITY # W222",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115495000",
"telephone_number": "516-463-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 NORTHERN BLVD STE 101",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215310",
"telephone_number": "516-622-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVUOTO PETRIZZO",
"first_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD, MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NY",
"license": "223738",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "223738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02684022",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "CAVUOTO",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.