John Pizzolla, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

174789 Issued in NY

Practice address

4207 Utopia Pkwy
Flushing, NY 11358-2735

Phone

(718) 463-1661

Fax

(718) 463-3716

NPI assigned

Nov 1, 2006

Last updated

May 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment NPD
• John Pizzolla MD PC

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1326205071
  Authorized official Same address or phone
• North Shore - Lij Medical PC

  dba NSLIJ Medical In Queens

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD
• Newyork-Presbyterian/Queens

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1013960962
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1598843427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 165TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581443",
            "telephone_number": "718-461-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 UTOPIA PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582735",
            "telephone_number": "718-463-1661",
            "fax_number": "718-463-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZOLLA",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01097850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sammy Daniel Pishanidar, M.D.
• Parminne Pitamber, MA, CCC-SLP
• Pivotal Motion Occupational Therapy, PLLC
• Alejandro Pizano, MD
• Andrea C Pizarro, PA
• Kimberly Placencia, MD
• Plastic Surgery PLLC
• Dimitris Platis, M.D.
• Michael Emanuel Plaut, DDS
• Playful Mind Early Intervention LLC

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.