Active NPI
Michael Naarendorp, M.D.
- Rheumatology Physician
- New York, NY
National Provider Identifier
1740256908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 229836
- 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, 2017
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01921948 | Medicaid | NY |
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
- Rheumatology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 229836 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| North General Physician Services PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- 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.
-
- Specialist
- New York, NY
- NPI 1548530702
-
- Internal Medicine Physician
- New York, NY
- NPI 1851315337
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.