Philip Gendron Prioleau, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

140641 Issued in NY

Practice address

1035 5TH Ave
Suite C
New York, NY 10028-0135

Phone

(212) 794-3548

Fax

(212) 794-2203

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 16, 2014 through Jan 16, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689759672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 5TH AVE",
            "address_2": "SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280135",
            "telephone_number": "212-794-3548",
            "fax_number": "212-794-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 5TH AVE",
            "address_2": "SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280135",
            "telephone_number": "212-794-3548",
            "fax_number": "212-794-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOLEAU",
        "first_name": "PHILIP",
        "middle_name": "GENDRON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "140641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Elyse Pringle, MD
• Victoria Pringle
• Alana Prinos
• Catherine Prinsell, PH.D.
• Alison Michelle Printz
• Dorothy Prior, PSY.D.
• Gina A Prior, ANP-BC
• Melanie Chapekis Prior, M.D.
• Silvia Priori, MD, PHD
• Priority Health Care (MindCare)

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.