Active NPI
Armando Iannicello, M.D
- Physical Medicine & Rehabilitation Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 294994
- Practice address
- 369 Lexington Ave RM 800
New York, NY 10017 - Phone
- (347) 252-6732
- Fax
- (347) 252-6731
- NPI assigned
- May 16, 2014
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 294994 | NY | Primary |
Addresses
Primary practice location
369 Lexington Ave RM 800
New York, NY 10017
Mailing address
369 Lexington Ave RM 800
New York, NY 10017-6536
Phone (347) 252-6732
Other practice location 1
369 Lexington Ave Rm 800
New York, NY 10017
Phone (347) 252-6732
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
- Physical Medicine and Rehabilitation
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
369 Lexington Ave
FL 19
New York, NY 10017-6522
Phone (929) 363-0303
626 Sheepshead Bay Rd
Suite 520
Brooklyn, NY 11224-3606
Phone (929) 363-0303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294994 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Pain Medicine PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Kotlyar Medical PC | Current | Accepting new patients |
Locations
626 Sheepshead Bay Rd
Ste 520
Brooklyn, NY 11224
Phone (929) 363-0303
1599 E 15th St
Ste 2
Brooklyn, NY 11230
Phone (347) 252-6732
1204 Avenue U
Ste 1075
Brooklyn, NY 11229
369 Lexington Ave
Fl 19
New York, NY 10017
Phone (212) 779-2944
369 Lexington Ave
Rm 800
New York, NY 10017
Phone (347) 252-6732
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1265735344
-
- Anesthesiology Physician
- New York, NY
- NPI 1205363454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1720499387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 LEXINGTON AVE RM 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176536",
"telephone_number": "347-252-6732",
"fax_number": "347-252-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 LEXINGTON AVE RM 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "347-252-6732",
"fax_number": "347-252-6731"
}
],
"practiceLocations": [
{
"address_1": "369 Lexington Ave Rm 800",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10017",
"country_code": "US",
"telephone_number": "347-252-6732",
"fax_number": "347-252-6731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IANNICELLO",
"first_name": "ARMANDO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "294994",
"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 Nov 1, 2019; 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.