Individual provider Active NPI

Michael C Mutone, M.D.

  • Cardiovascular Disease Physician
  • New Rochelle, NY
National Provider Identifier
1528151925
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
165651 Issued in NY
Practice address
175 Memorial Hwy
Suite 2-5
New Rochelle, NY 10801-5635
Phone
(914) 235-8911
Fax
(914) 235-1382
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 165651 NY Primary

Addresses

Primary practice location

175 Memorial Hwy
Suite 2-5
New Rochelle, NY 10801-5635

Mailing address

PO Box 366
New Rochelle, NY 10802-0366
Phone (718) 792-4500

Other identifiers 1

IdentifierTypeStateIssuer
01493594MedicaidNY

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
I20031205000287 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 2264336643 Reassigns benefits to 8 organizations
Practice locations: New Rochelle, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Nassau Diagnostic Imaging Services PCGroup PAC ID 8820902653, 9 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
Ricardo Mornaghi Physicians PLLCGroup PAC ID 7416906854, 4 clinicians

Practice addresses (Care Compare)

110 Lockwood Ave
New Rochelle, NY 10801-5028
Phone (914) 235-8911

115 W Sunrise Hwy
Freeport, NY 11520-3612
Phone (516) 546-9200

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

421 Huguenot St
New Rochelle, NY 10801-7021

57 Washington Ave
New Rochelle, NY 10801-5528
Phone (914) 633-4443

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Jun 8, 2025 Accepting new patients
Ricardo Mornaghi Physicians PLLC CurrentSince Dec 1, 2004 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 8, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 8, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 8, 2025 Accepting new patients
Cedarhurst Medical PC Cardiovascular Disease CurrentSince May 3, 2025 Accepting new patients
Shakespeare Operating LLC CurrentSince Aug 9, 2025 Accepting new patients
Western Nassau Diagnostic Imaging Services P.C. CurrentSince Jan 28, 2017 Accepting new patients
Vascular Diagnostic Assoc., PC Cardiovascular Disease PastSince Apr 26, 1997 Accepting new patients
New Rochelle Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Avag Medical PC PastSince Jul 1, 2002 Accepting new patients
Dr Andrew M Hararah DO PC Medical C Past Accepting new patients
Westchester Heart Specialists LLP Cardiovascular Disease Past Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1775 Grand Concourse
Ste 4C
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

108 E 183rd St
Bronx, NY 10453
Phone (718) 295-4600

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2960 Grand Concourse
Apt L1
Bronx, NY 10458
Phone (718) 295-6815

3108 Kingsbridge Ave
Bronx, NY 10463
Phone (718) 548-1102

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

2702 3rd Ave
Ste A
Bronx, NY 10454

115 W Sunrise Hwy
Freeport, NY 11520
Phone (516) 546-9200

57 Washington Ave
New Rochelle, NY 10801
Phone (914) 633-4443

601 W 138th St
#B
New York, NY 10031
Phone (212) 844-9490

2374 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 409-8311

Networks

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

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1528151925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108020366",
            "telephone_number": "718-792-4500",
            "fax_number": "718-792-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 2-5",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-235-8911",
            "fax_number": "914-235-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTONE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "165651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01493594",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.