Nelson R Pichardo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03887500 Issued in NJ

Practice address

80 Passaic Ave
Suite 1
Passaic, NJ 07055-4860

Phone

(973) 928-2167

Fax

(973) 928-2170

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Internal MedicineAlso: Pain Management

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Comprehensive Medical Care at 3Rd Avenue PCGroup PAC ID 8527351485, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nelson.pichardo@integratedmedicalservicespc.ehi.direct-ci.com

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.

• Comprehensive Medical Care at 3Rd Avenue PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1104274901
  Medicare reassignment Care Compare group Authorized official
• Integrated Medical Services PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1861826919
  Medicare reassignment NPD
• New Jersey Medical and Health Associates,LLC

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1558673582
  Medicare reassignment NPD
• Integral Medical Care LLC

  • Clinic/Center
  • Highland Lakes, NJ
  • NPI 1669247128
  NPD
• Pulmonary Solutions LLC

  • Internal Medicine Physician
  • Fair Lawn, NJ
  • NPI 1912332974
  NPD
• Cardio-Med Services LLC

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1255313623
  NPD (past)
• Elensa Medical II, LLC

  • Clinic/Center
  • Paterson, NJ
  • NPI 1427291780
  NPD (past)
• Comprehensive Healhtcare and Medical Services PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1427030899
  NPD (past)
• New York Medical and Cardiovascular Services, PC

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1235432410

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1720110547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PASSAIC AVE",
            "address_2": "SUITE 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554860",
            "telephone_number": "973-928-2167",
            "fax_number": "973-928-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PASSAIC AVE",
            "address_2": "SUITE 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554860",
            "telephone_number": "973-928-2167",
            "fax_number": "973-928-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "NELSON",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2137731",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03887500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066885",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perinatal Associates LLC
• Karina Pesah, LCSW
• Wayne Andrew Petermann, D.C.
• Amanda Peters, LCSW
• Pichardo Health Group P C
• Nellie Buracan Pineda, M.D.
• Denise Pinon, LPC
• Platinum Path ABA LLC
• Crystabel Polanco, M.D.
• Surmilena Polanco, DDS

• Internal Medicine Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.

Verify at the official NPI Registry.