NPIMap

Individual provider Active NPI

Paolo G Perrone, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1578525408
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214346 Issued in NY
Practice address
800 Manor Rd
Suite 4
Staten Island, NY 10314-7034
Phone
(718) 448-6800
Fax
(718) 448-9458
NPI assigned
Apr 5, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214346 NY Primary

Addresses

Primary practice location

800 Manor Rd
Suite 4
Staten Island, NY 10314-7034

Mailing address

939 Hylan Blvd
Staten Island, NY 10305-2080
Phone (718) 448-6800

Other identifiers 1

IdentifierTypeStateIssuer
02050700MedicaidNY

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
I20040426001084 NY Practitioner - Internal Medicine 1850388679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Internal Medicine Group, P.C.Group PAC ID 2769452036, 4 clinicians

Practice addresses (Care Compare)

1551 Richmond Rd
Suite 2B
Staten Island, NY 10304-2338
Phone (718) 448-6800

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
214346NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Internal Medicine Group, P.C. Internal Medicine CurrentSince Oct 1, 2009 Accepting new patients
Regional Physician Services, PC Internal Medicine PastSince Mar 10, 2009 Accepting new patients
Richmond Medical Center Past Accepting new patients

Locations

1551 Richmond Rd
Ste 2B
Staten Island, NY 10304
Phone (718) 448-6800

800 Manor Rd
Ste 4
Staten Island, NY 10314
Phone (718) 448-6800

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDJAA
  • Direct secure messaging: pperrone66364@northwell.direct-ci.com

Organizations & group practices 3

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 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1578525408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052080",
            "telephone_number": "718-448-6800",
            "fax_number": "718-448-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MANOR RD",
            "address_2": "SUITE 4",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034",
            "telephone_number": "718-448-6800",
            "fax_number": "718-448-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "PAOLO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02050700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.