Active NPI
Medical Care for All PC
- Sleep Medicine (Internal Medicine) Physician
- New York, NY
National Provider Identifier
1538698642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- MEDICAL CARE FOR ALL PC
- Practice address
- 22 E 41St St FL 4
New York, NY 10017-6280 - Phone
- (212) 945-8134
- Fax
- (212) 558-9131
- NPI assigned
- Jun 12, 2017
- 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
- Irina Petrenko, MD
- Title
- President
- Phone
- (212) 945-8134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | NY | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | NY | Primary |
Addresses
Primary practice location
22 E 41St St FL 4
New York, NY 10017-6280
Mailing address
1180 Clove Rd
Staten Island, NY 10301-3649
Phone (212) 945-8134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03264646 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1538698642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013649",
"telephone_number": "212-945-8134",
"fax_number": "888-908-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 E 41ST ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176280",
"telephone_number": "212-945-8134",
"fax_number": "212-558-9131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CARE FOR ALL PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-12",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "PETRENKO",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-945-8134",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03264646",
"state": "NY"
}
],
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.