Active NPI
Eduardo Luis Pignanelli, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 190569
- 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, 2015
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2503861 | Other | NY | GHI |
| 11P3261 | Other | NY | NY PRESBYTERIAN COMMUNITY |
| 01466820 | Medicaid | NY | |
| 172948 | Other | NY | WELLCARE OF NY |
| 190569-A26 | Other | NY | HEALTH FIRST, INC |
| 43122NC | Other | NY | CIGNA HEALTHCARE |
| NS2996 | Other | NY | OXFORD HEALTH PLANS |
| PC08 | Other | NY | CENTERCARE, INC |
| 000423460326 | Other | NY | HEALTH PLUS |
| 2C2995 | Other | NY | HEALTH NET |
| 11C0291 | Other | NY | COMMUNITY PREMIER PLUS |
| 33H533 | Other | NY | EMPIRE BC/BS |
| 5692211 | Other | NY | AETNA 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 190569 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsterdam Medical Practice, PLLC | Internal Medicine | Current | Accepting new patients |
| Arlen G. Fleisher, MD, PC | Past | 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
- eduardo.pignanelli.1@21268.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1083981344
-
- Internal Medicine Physician
- New York, NY
- NPI 1295851020
-
dba Premier Vein Centers of Westchester
- Vascular Surgery Physician
- Hartsdale, NY
- NPI 1710995261
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.