Edgar Andrew Pimentel, D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

203059 Issued in NY

Practice address

570 W 204TH St
New York, NY 10034-4008

Phone

(212) 567-3777

NPI assigned

Sep 28, 2006

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 Osteopathy, Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDBBDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiology Physicians PC

  • Interventional Cardiology Physician
  • Bronx, NY
  • NPI 1215151774
  NPD (past)
• New York Family Medicine Associates, P.C.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1902989312
  NPD (past)
• SBH Physicians, PC

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1457665937
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1598856007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 REVILLE ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W 204TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344008",
            "telephone_number": "212-567-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "EDGAR",
        "middle_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "203059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01688513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luiz Andre Pimenta, DDS, MS, MBA, PHD
• Allyson Marlena Pimentel, ED.D.
• Angeli Pimentel
• Braulio Pimentel
• Decenia Pimentel, RDH
• Josephine Pimentel, NP
• Mariano Cezar Pimentel Jr., MD
• Sandra Pimentel, PHD
• Solangel L Pimentel
• Jacqueline Pimienta, MD

• Geriatric Medicine (Family Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.