Individual provider Active NPI

Antonio Petruzzo, MD

  • Anesthesiology Physician
  • Cortlandt Manor, NY
National Provider Identifier
1619915857
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
201079-1 Issued in NY
Practice address
1980 Crompond Road
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567
Phone
(914) 737-9000
Fax
(845) 790-2675
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 201079-1 NY Primary

Addresses

Primary practice location

1980 Crompond Road
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567

Mailing address

2 Catharine St
P.O. Box 550
Poughkeepsie, NY 12601-3100
Phone (845) 790-2661

Other identifiers 1

IdentifierTypeStateIssuer
01832122MedicaidNY

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
I20060605000127 NY Practitioner - Anesthesiology 6204847320 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 1992
Medicare assignment
May accept Medicare assignment
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Singular Anesthesia Services PLLCGroup PAC ID 7618284092, 72 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

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

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
201079-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince Jan 1, 2026 Accepting new patients
Horizon Medical Group, P.C. Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jan 20, 2026 Accepting new patients
Montefiore Medical Center CurrentSince May 17, 2024 Accepting new patients
Hudson Health Anesthesia PLLC Anesthesiology CurrentSince Dec 15, 2021 Accepting new patients
New York Gi Center LLC CurrentSince Jul 8, 2023 Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Liberty Endoscopy, LLC Anesthesiology CurrentSince Apr 7, 2023 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince May 17, 2024 Accepting new patients
Valhalla Anesthesia Associates, PC Anesthesiology Past Accepting new patients

Locations

3219 E Tremont Ave
Bronx, NY 10461
Phone (718) 792-7625

111 E 210th St
Bronx, NY 10467

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1980 Crompond Rd
#C
Cortlandt Mnr, NY 10567
Phone (914) 736-9000

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

141 S Central Ave
Ste 301
Hartsdale, NY 10530
Phone (914) 713-3228

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

33 Grand St
Kingston, NY 12401
Phone (845) 338-1535

26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222

88 Old Route 9W
Ofc
New Windsor, NY 12553
Phone (845) 549-1011

156 William St
Fl 4
New York, NY 10038
Phone (646) 215-2244

6 Front St
Newburgh, NY 12550

150 S Pearl St
Pearl River, NY 10965
Phone (845) 623-6141

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

83 Montgomery Ave
Scarsdale, NY 10583
Phone (914) 472-6686

226 Westchester Ave
White Plains, NY 10604
Phone (914) 437-9910

2422 Central Park Ave
Yonkers, NY 10710
Phone (914) 779-2995

984 N Broadway
Ste 501
Yonkers, NY 10701
Phone (914) 636-1700

Networks

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

Interoperability endpoints

  • Direct secure messaging: antonio.petruzzo@direct.hvhc.org
  • Direct secure messaging: apetruzzo@montefioredirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA
  • Direct secure messaging: anp9189@direct.nyp.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1619915857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE ST",
            "address_2": "P.O. BOX 550",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013100",
            "telephone_number": "845-790-2661",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 CROMPOND ROAD",
            "address_2": "HUDSON VALLEY HOSPITAL CENTER",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-737-9000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZO",
        "first_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "201079-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01832122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.