Active NPI
Antonio Petruzzo, MD
- Anesthesiology Physician
- Cortlandt Manor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 201079-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01832122 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201079-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical Group, P.C. | Current | Accepting new patients | |
| Horizon Medical Group, P.C. | Anesthesiology | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Hudson Health Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| New York Gi Center LLC | Current | Accepting new patients | |
| Singular Anesthesia Services, PLLC | Anesthesiology | Current | Accepting new patients |
| Liberty Endoscopy, LLC | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Anesthesiology | Current | 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
- antonio.petruzzo@direct.hvhc.org
- apetruzzo@montefioredirect.com
- https://fhir4.healow.com/fhir/r4/DGICBA
- 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
-
- Anesthesiology Physician
- Cortlandt Manor, NY
- NPI 1619633898
-
- Endoscopy Clinic/Center
- Bronx, NY
- NPI 1336258128
-
- Durable Medical Equipment & Medical Supplies
- Yorktown Heights, NY
- NPI 1386520021
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1124070800
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.