Organization Active NPI

P and V Medical, PLLC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1689919912
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
P AND V MEDICAL, PLLC
Practice address
3170 E Tremont Ave
Bronx, NY 10461-5766
Phone
(917) 318-1315
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Patrick Prepetit, MD
Title
Owner
Phone
(917) 318-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3170 E Tremont Ave
Bronx, NY 10461-5766

Mailing address

243 5TH Ave
748
New York, NY 10016-8703

National Provider Directory

National Provider Directory

Locations

672 Wellwood Ave
Unit 1
Lindenhurst, NY 11757
Phone (516) 456-4490

243 5th Ave
New York, NY 10016
Phone (212) 757-8686

220 Fort Salonga Rd
#25A
Northport, NY 11768
Phone (516) 449-1842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1689919912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 5TH AVE",
            "address_2": "748",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615766",
            "telephone_number": "917-318-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P AND V MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "PREPETIT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-318-1315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.