Active NPI
Phillip Noe Arellano, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 303930
- Practice address
- 3959 Broadway
New York, NY 10032-1559 - Phone
- (904) 501-1577
- NPI assigned
- Jun 24, 2016
- Last updated
- Jul 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 303930 | NY | Primary |
| Psychiatry Physician | 2084P0800X | MT212172 | PA |
Addresses
Primary practice location
3959 Broadway
New York, NY 10032-1559
Mailing address
1330 1St Ave Apt 509
New York, NY 10021-4777
Phone (904) 501-1577
Other practice location 1
230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 762-7000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303930 | NY | MD | Psychiatry Physician |
| MT212172 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Psychiatry | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in Department of Psychiatry | Psychiatry | Past | Accepting new patients |
Locations
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
3959 Broadway
New York, NY 10032
Phone (212) 304-7297
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
710 W 168th St
#12
New York, NY 10032
Phone (212) 305-9758
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- pna9003@direct.nyp.org
Organizations & group practices 4
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Psychiatry
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Psychiatry Physician
- New York, NY
- NPI 1619911526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1740631373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 1ST AVE APT 509",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214777",
"telephone_number": "904-501-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "904-501-1577"
}
],
"practiceLocations": [
{
"address_1": "230 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021121",
"country_code": "US",
"telephone_number": "215-762-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARELLANO",
"first_name": "PHILLIP",
"middle_name": "NOE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-24",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "303930",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT212172",
"primary": false
}
],
"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 Jul 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.