Martin Leonard Racanelli, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

133729 Issued in NY

Practice address

205 East Main Street
Suite 2-6
Huntington, NY 11743

Phone

(631) 427-1122

Fax

(631) 549-6839

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Internal Medicine Associates, PC

  dba Medical Associates

  • Internal Medicine Physician
  • Oakland Gardens, NY
  • NPI 1619188489
  Medicare reassignment NPD
• Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Selden, NY
  • NPI 1134658693
  NPD
• Internal Medicine and Geriatrics Associates PLLC

  • Internal Medicine Physician
  • Holbrook, NY
  • NPI 1235376153
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1497849616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EAST MAIN STREET",
            "address_2": "SUITE 2-6",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-427-1122",
            "fax_number": "631-549-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EAST MAIN STREET",
            "address_2": "SUITE 2-6",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-427-1122",
            "fax_number": "631-549-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACANELLI",
        "first_name": "MARTIN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "133729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00761899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Quintanilla Rivas
• R. B. Visions Inc.
• R.M. Speech Therapy PLLC
• Alexsandr Rabukhin, M.D.
• Jaye Ellen Racanelli, A.N.P.
• Annmarie Dawn Raefski, MD
• Rubina Rafi, DPM
• Nicole Raganella, LMHC
• Dena Raia
• Rainier Center Consulting, LLC (Rainier Center for Mental Health and Wellness)

• Internal Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.