Individual provider Active NPI

Adrian Cotarelo

  • Emergency Medicine Physician
  • Long Island City, NY
National Provider Identifier
1437642709
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
316241 Issued in NY
Practice address
201 50TH Ave Apt 15F
Long Island City, NY 11101-5774
Phone
(786) 314-6255
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 316241 NY Primary

Addresses

Primary practice location

201 50TH Ave Apt 15F
Long Island City, NY 11101-5774

Mailing address

201 50TH Ave Apt 15F
Long Island City, NY 11101-5774
Phone (786) 314-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221122002577 NY Practitioner - Emergency Medicine 3577931534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dobbs Ferry Emergency Medicine, PCGroup PAC ID 8022908268, 39 clinicians

Practice addresses (Care Compare)

128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone (914) 964-4370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC CurrentSince May 31, 2023 Accepting new patients
Symphony Medical PC Current Accepting new patients
Dobbs Ferry Emergency Medicine, PC Emergency Medicine CurrentSince Jun 19, 2023 Accepting new patients
Symphony Medical PC CurrentSince May 31, 2023 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients

Locations

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1437642709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 50TH AVE APT 15F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015774",
            "telephone_number": "786-314-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 50TH AVE APT 15F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015774",
            "telephone_number": "786-314-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTARELO",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "316241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.