NPIMap

Individual provider Active NPI

John Vincent Celentano, MD

  • Family Medicine Physician
  • East Moriches, NY
National Provider Identifier
1558445478
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
139883 Issued in NY
Practice address
516 Montauk Hwy
East Moriches, NY 11940-1225
Phone
(631) 874-2900
Fax
(631) 874-2948
NPI assigned
Oct 25, 2006
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 139883 NY Primary

Addresses

Primary practice location

516 Montauk Hwy
East Moriches, NY 11940-1225

Mailing address

516 Montauk Hwy
East Moriches, NY 11940-1225
Phone (631) 874-2900

Other identifiers 1

IdentifierTypeStateIssuer
00690473MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001133 NY Practitioner - Family Practice 7012808975 Reassigns benefits to 4 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: East Moriches, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

6 Ohio Dr
New Hyde Park, NY 11042-1124
Phone (516) 304-7208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince May 3, 2021 Accepting new patients
Peconic Bay Primary Medical Care CurrentSince May 3, 2010 Accepting new patients
Bellhaven Management LLC CurrentSince Mar 10, 2011 Accepting new patients
Gramercy Medical Services P.C. CurrentSince Jun 1, 2018 Accepting new patients
North Shore - Lij Medical PC CurrentSince May 3, 2021 Accepting new patients
John V. Celentano Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

110 Beaver Dam Rd
Brookhaven, NY 11719
Phone (516) 589-4496

3010 W 33rd St
Brooklyn, NY 11224
Phone (347) 713-8648

516 Montauk Hwy
Ste 1
East Moriches, NY 11940
Phone (631) 874-2900

13916 91st Ave
Jamaica, NY 11435
Phone (718) 454-8556

300 Community Dr
Manhasset, NY 11030

6 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 328-8700

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jcelentano65454@northwell.direct-ci.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1558445478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401225",
            "telephone_number": "631-874-2900",
            "fax_number": "631-874-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401225",
            "telephone_number": "631-874-2900",
            "fax_number": "631-874-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELENTANO",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "139883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00690473",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

Verify at the official NPI Registry.