Active NPI
Vincent M. Pedre , M.D., PLLC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1376735977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 218249
- Legal business name
- VINCENT M. PEDRE , M.D., PLLC
- Practice address
- 120 E 56TH St
Suite 530
New York, NY 10022-3607 - Phone
- (212) 860-8300
- NPI assigned
- Aug 16, 2007
- Last updated
- Mar 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent M Pedre III, M.D.
- Title
- Owner
- Phone
- (212) 860-8300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 218249 | NY | Primary |
Addresses
Primary practice location
120 E 56TH St
Suite 530
New York, NY 10022-3607
Mailing address
120 E 56TH St
Suite 530
New York, NY 10022-3607
Phone (212) 860-8300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New York, NY
- NPI 1629067780
-
- Internal Medicine Physician
- New York, NY
- NPI 1265408512
-
- Family Nurse Practitioner
- Northport, NY
- NPI 1861035123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1376735977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E 56TH ST",
"address_2": "SUITE 530",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223607",
"telephone_number": "212-860-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 56TH ST",
"address_2": "SUITE 530",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223607",
"telephone_number": "212-860-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT M. PEDRE , M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "PEDRE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-860-8300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "218249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.