NPIMap

Organization Active NPI

Michael a Pisacano MD PC

Doing business as Pisacano Eye Surgery and Laser Specialists

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1740488451
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
230158 Issued in NY
Legal business name
MICHAEL A PISACANO MD PC
Doing business as
Pisacano Eye Surgery and Laser Specialists
Practice address
2590 Frisby Ave
Bronx, NY 10461-3240
Phone
(718) 409-9400
Fax
(718) 409-9440
NPI assigned
Jul 3, 2007
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Michael Anthony PisacanoNPI 1194792887
Title
President
Phone
(718) 409-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 230158 NY Primary

Addresses

Primary practice location

2590 Frisby Ave
Bronx, NY 10461-3240

Mailing address

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 409-9400

Other names 1

  • Pisacano Eye Surgery and Laser Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001197 NY Part B Supplier - Clinic/Group Practice 0941271720 Receives reassigned benefits from 14 practitioners
Practice locations: New Rochelle, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

2590 Frisby Ave
Fl 2
Bronx, NY 10461

Interoperability endpoints

  • Direct secure messaging: adjougarian@pisacanoeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1740488451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-409-9400",
            "fax_number": "718-409-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-409-9400",
            "fax_number": "718-409-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A PISACANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "PISACANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-409-9400"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "230158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pisacano Eye Surgery and Laser Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.