Individual provider Active NPI

Salvatore J. Cannizzo, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1619051091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
197749 Issued in NY
Practice address
70 Pine St
26TH Floor
New York, NY 10270-0002
Phone
(212) 770-6892
Fax
(646) 792-3908
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X 197749 NY Primary

Addresses

Primary practice location

70 Pine St
26TH Floor
New York, NY 10270-0002

Mailing address

70 Pine St
26TH Floor
New York, NY 10270-0002
Phone (212) 770-6892

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
I20170814001425 NY Practitioner - Internal Medicine 0446522239 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197749NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jul 15, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 15, 2017 Accepting new patients

Locations

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619051091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PINE ST",
            "address_2": "26TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102700002",
            "telephone_number": "212-770-6892",
            "fax_number": "646-792-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PINE ST",
            "address_2": "26TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102700002",
            "telephone_number": "212-770-6892",
            "fax_number": "646-792-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZO",
        "first_name": "SALVATORE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.