Individual provider Active NPI

Steven Alex Renzoni, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Airmont, NY
National Provider Identifier
1568577625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
212885 Issued in NY
Practice address
327 Route 59
Airmont, NY 10952-3407
Phone
(845) 356-2900
Fax
(845) 356-7797
NPI assigned
Aug 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 212885 NY Primary

Addresses

Primary practice location

327 Route 59
Airmont, NY 10952-3407

Mailing address

327 Route 59
Airmont, NY 10952-3407
Phone (845) 356-2900

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
I20070307000094 NY Practitioner - Orthopedic Surgery 5395848600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Vladimir Zelenko MD PCGroup PAC ID 4587714985, 12 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

3 Hamaspik Way
Unit 11
Monroe, NY 10950-8625
Phone (845) 782-0000

785 State Route 17M
Monroe, NY 10950-2623
Phone (845) 507-0477

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Vladimir Zelenko M.D. P.C. CurrentSince Jun 29, 2024 Accepting new patients
Northeast Orthopedics and Sports Medicine PLLC Sports Medicine CurrentSince May 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Northeast Orthopedics and Sports Medicine PLLC CurrentSince May 1, 2014 Accepting new patients

Locations

327 Route 59
Airmont, NY 10952
Phone (845) 356-2900

111 E 210th St
Bronx, NY 10467

3 Hamaspik Way
Unit 11
Monroe, NY 10950
Phone (845) 859-9178

408 Airport Executive Park
Nanuet, NY 10954
Phone (845) 425-0555

507 Airport Executive Park
Nanuet, NY 10954
Phone (845) 262-5313

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568577625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ROUTE 59",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523407",
            "telephone_number": "845-356-2900",
            "fax_number": "845-356-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ROUTE 59",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523407",
            "telephone_number": "845-356-2900",
            "fax_number": "845-356-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZONI",
        "first_name": "STEVEN",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "212885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

Verify at the official NPI Registry.