Individual provider Active NPI

Eduardo Luis Pignanelli, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1659354983
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190569 Issued in NY
Practice address
2360 Amsterdam Ave
Ste M1
New York, NY 10033-7362
Phone
(212) 923-0559
Fax
(212) 740-4930
NPI assigned
Nov 21, 2005
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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 190569 NY Primary

Addresses

Primary practice location

2360 Amsterdam Ave
Ste M1
New York, NY 10033-7362

Mailing address

2360 Amsterdam Ave
Ste M1
New York, NY 10033-7362
Phone (212) 923-0559

Other identifiers 13

IdentifierTypeStateIssuer
2503861OtherNYGHI
11P3261OtherNYNY PRESBYTERIAN COMMUNITY
01466820MedicaidNY
172948OtherNYWELLCARE OF NY
190569-A26OtherNYHEALTH FIRST, INC
43122NCOtherNYCIGNA HEALTHCARE
NS2996OtherNYOXFORD HEALTH PLANS
PC08OtherNYCENTERCARE, INC
000423460326OtherNYHEALTH PLUS
2C2995OtherNYHEALTH NET
11C0291OtherNYCOMMUNITY PREMIER PLUS
33H533OtherNYEMPIRE BC/BS
5692211OtherNYAETNA HEALTHCARE

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
I20110615000595 NY Practitioner - Internal Medicine 0749387207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amsterdam Medical Practice, PLLCGroup PAC ID 0345560454, 5 clinicians

Practice addresses (Care Compare)

2360 Amsterdam Ave
M1
New York, NY 10033-7362
Phone (212) 923-0559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190569NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amsterdam Medical Practice, PLLC Internal Medicine CurrentSince Feb 27, 2013 Accepting new patients
Arlen G. Fleisher, MD, PC PastSince Jan 1, 2015 Accepting new patients

Locations

2360 Amsterdam Ave
#M1
New York, NY 10033
Phone (212) 256-9038

2360 Amsterdam Ave
Ste M1
New York, NY 10033
Phone (212) 434-3285

Networks

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

Interoperability endpoints

  • Direct secure messaging: eduardo.pignanelli.1@21268.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21268/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1659354983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE",
            "address_2": "STE M1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337362",
            "telephone_number": "212-923-0559",
            "fax_number": "212-740-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE",
            "address_2": "STE M1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337362",
            "telephone_number": "212-923-0559",
            "fax_number": "212-740-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNANELLI",
        "first_name": "EDUARDO",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2503861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PRESBYTERIAN COMMUNITY",
            "identifier": "11P3261",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01466820",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF NY",
            "identifier": "172948",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST, INC",
            "identifier": "190569-A26",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "43122NC",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "NS2996",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERCARE, INC",
            "identifier": "PC08",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "000423460326",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2C2995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY PREMIER PLUS",
            "identifier": "11C0291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "33H533",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "5692211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.