Individual provider Active NPI

Carlo Annese, MD

  • Internal Medicine Physician
  • Sea Cliff, NY
National Provider Identifier
1336127182
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146557 Issued in NY
Practice address
35 Lafayette Ave
Sea Cliff, NY 11579-1730
Phone
(516) 671-5474
Fax
(516) 671-5454
NPI assigned
Jan 3, 2006
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 146557 NY Primary

Addresses

Primary practice location

35 Lafayette Ave
Sea Cliff, NY 11579-1730

Mailing address

35 Lafayette Ave
Sea Cliff, NY 11579-1730
Phone (516) 671-5474

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 Dec 28, 2012 through Dec 28, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1336127182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAFAYETTE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791730",
            "telephone_number": "516-671-5474",
            "fax_number": "516-671-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LAFAYETTE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791730",
            "telephone_number": "516-671-5474",
            "fax_number": "516-671-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNESE",
        "first_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

Verify at the official NPI Registry.