Individual provider Active NPI

Michael Naarendorp, M.D.

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1740256908
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
229836 Issued in NY
Practice address
51 Saint Nicholas Ave
Apt PH-3F
New York, NY 10026-3467
Phone
(212) 360-5752
Fax
(212) 280-0603
NPI assigned
Feb 27, 2006
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 229836 NY Primary

Addresses

Primary practice location

51 Saint Nicholas Ave
Apt PH-3F
New York, NY 10026-3467

Mailing address

301 W 118TH St
Apt PH-3F
New York, NY 10026-1049
Phone (212) 360-5752

Other identifiers 1

IdentifierTypeStateIssuer
01921948MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000604 NY Practitioner - RheumatologyPractitioner - Internal Medicine 2860486149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 Saint Nicholas Ave
Apt 1
New York, NY 10026-3467
Phone (212) 360-5752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229836NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
North General Physician Services PLLC PastSince Jul 1, 2006 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGBGAA/Endpoint/AGBGAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1740256908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 118TH ST",
            "address_2": "APT PH-3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261049",
            "telephone_number": "212-360-5752",
            "fax_number": "212-280-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SAINT NICHOLAS AVE",
            "address_2": "APT PH-3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263467",
            "telephone_number": "212-360-5752",
            "fax_number": "212-280-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAARENDORP",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "229836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01921948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.