Individual provider Active NPI

Mario Atanasov Peichev, MD

  • Pediatric Hematology & Oncology Physician
  • Astoria, NY
National Provider Identifier
1669447439
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
200868 Issued in NY
Practice address
3272 Steinway St
Astoria, NY 11103-4182
Phone
(718) 406-9278
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 200868 NY Primary

Addresses

Primary practice location

3272 Steinway St
Astoria, NY 11103-4182

Mailing address

1123 Douglas PL
Seaford, NY 11783-1528
Phone (516) 804-3362

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
I20081016000514 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 6709944937 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

800 Castleton Ave
Staten Island, NY 10310-1805
Phone (718) 818-4570

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. CurrentSince Feb 18, 2017 Accepting new patients
Amboy Medical Practice PC CurrentSince Sep 24, 2020 Accepting new patients
Brookdale Family Care Center, Inc. Current Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Jan 22, 2012 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 22, 2012 Accepting new patients
Amboy Medical Practice PC CurrentSince Sep 24, 2020 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jan 22, 2012 Accepting new patients
CMC Housestaff Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients

Locations

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344

314 Seaview Ave
Staten Island, NY 10305
Phone (718) 668-3417

Networks

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

Interoperability endpoints

  • Direct secure messaging: mario.peichev.1@19656.direct.athenahealth.com

Organizations & group practices 11

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1669447439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 DOUGLAS PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831528",
            "telephone_number": "516-804-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034182",
            "telephone_number": "718-406-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEICHEV",
        "first_name": "MARIO",
        "middle_name": "ATANASOV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "200868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.