Nina Pesante, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

180292 Issued in NY

Practice address

300 Main St
Suite 4
Vestal, NY 13850-1545

Phone

(607) 754-3646

Fax

(607) 786-2191

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437125978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "SUITE 4",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501545",
            "telephone_number": "607-754-3646",
            "fax_number": "607-786-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "SUITE 4",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501545",
            "telephone_number": "607-754-3646",
            "fax_number": "607-786-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESANTE",
        "first_name": "NINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "180292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heaven Ann-Marie Pentecost-Lewis, MS
• Dennis Perenyi, MD
• Amanda Perkins, SLP
• Catherine Danielle Perna, MA, CAS, BCBA
• Mark D Perry, PHARM. D.
• Pharmscript LLC
• Stefanie Jean Pickens, LCSWR
• Amy Pipher, PHARMD, RPH
• Andrew M Polak
• Jane Polhamus, NP

• Psychiatry Physician in Vestal, NY
• Providers in Vestal, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.