Individual provider Active NPI

Paul Anthony Cristofano, M.D.

  • Psychiatry Physician
  • Valhalla, NY
National Provider Identifier
1336596998
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2020-04153 Issued in NC
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 493-7000
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 2020-04153 NC Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

24 Crane Ave
White Plains, NY 10603-3703
Phone (914) 438-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA, NY, NJ4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210407001473 NC Practitioner - Psychiatry 9537590351 Reassigns benefits to 2 organizations
I20210430001914 PA Practitioner - Psychiatry 9537590351 Reassigns benefits to 1 organization
I20220822000426 NY Practitioner - Psychiatry 9537590351 Reassigns benefits to 3 organizations
I20251231002898 NJ Practitioner - Psychiatry 9537590351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians

Practice addresses (Care Compare)

1713 Lawrence Rd
Mohegan Lake, NY 10547-1617
Phone (914) 438-5121

295 Madison Ave
RM 407
New York, NY 10017-6438
Phone (332) 334-1511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-04153NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Wellness LLC Psychiatry CurrentSince Jan 23, 2024 Accepting new patients
Big Leap Medical Group PA Psychiatry CurrentSince Mar 29, 2025 Accepting new patients
Todd Mekles MD PC Psychiatry CurrentSince Sep 14, 2025 Accepting new patients
Cornerstone Medical Center, PA Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 1, 2021 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Big Leap Medical Group of America P.a. Psychiatry CurrentSince Jan 23, 2026 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince May 3, 2021 Accepting new patients

Locations

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

201 E Wendover Ave
Greensboro, NC 27401
Phone (336) 275-6318

5170 US Highway 9
Howell, NJ 07731
Phone (332) 334-1511

32 Court St
Ste 1703
Brooklyn, NY 11201
Phone (718) 704-3032

295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511

353 Lexington Ave
Rm 800
New York, NY 10016
Phone (917) 391-0076

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

660 White Plains Rd
Ste 125
Tarrytown, NY 10591
Phone (914) 438-5121

34 S Broadway
Ste 504
White Plains, NY 10601
Phone (914) 289-2590

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Organizations & group practices 9

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1336596998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CRANE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033703",
            "telephone_number": "914-438-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOFANO",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-04153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.