Active NPI
Bernard L. Pacella Jr., M.D.
- Facial Plastic Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 195401-1
- Practice address
- 115 E 61St St Apt 4C
New York, NY 10021-8184 - Phone
- (212) 486-5000
- Fax
- (631) 657-5456
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 195401-1 | NY | Primary |
Addresses
Primary practice location
115 E 61St St Apt 4C
New York, NY 10021-8184
Mailing address
15 Barnes Rd
Manorville, NY 11949-2002
Phone (631) 882-4025
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
- Otolaryngology
- Education
- Harvard Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195401-1 | NY | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| ENT and Allergy Associates LLP | Facial Plastic Surgery | Past | Accepting new patients |
| Wyckoff Heights Medical Center | Past | Accepting new patients | |
| Manhattan Eye Ear and Throat Hospital | Past | Accepting new patients |
Locations
374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- bernard.pacella@cesardionisio.chartmakerdirect.com
- bernard.pacella@1473.chartlogic.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
Facial Plastic Surgery
-
- General Acute Care Hospital
- New York, NY
- NPI 1922169689
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1699864132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BARNES RD",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492002",
"telephone_number": "631-882-4025",
"fax_number": "631-657-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 61ST ST APT 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100218184",
"telephone_number": "212-486-5000",
"fax_number": "631-657-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACELLA",
"first_name": "BERNARD",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "195401-1",
"primary": true
}
],
"identifiers": [],
"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 20, 2009; 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.