Active NPI
Patrick Jean Florian Prepetit, M.D.
- Internal Medicine Physician
- Cortlandt Manor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 254520
- Practice address
- 1980 Crompond Rd
Cortlandt Manor, NY 10567-4144 - Phone
- (914) 734-3600
- Fax
- (914) 734-3601
- NPI assigned
- Sep 14, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 254520 | NY | Primary |
Addresses
Primary practice location
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Mailing address
50 Dayton LN
Suite 202
Peekskill, NY 10566-2859
Phone (914) 739-0087
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
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2640 Pitkin Ave
Brooklyn, NY 11208-2763
Phone (718) 277-0386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Housing Works Health Services III, Inc. | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Housing Works Health Services III, Inc. | Current | Accepting new patients | |
| Becker Medical, PC | Past | Accepting new patients |
Locations
57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475
57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
145 E 125th St
New York, NY 10035
Phone (646) 595-7440
50 Dayton Ln
Ste 202
Peekskill, NY 10566
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- patrick.prepetit@direct.hvhc.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1114950151
-
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1750934436
-
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- Specialist
- Cortlandt Manor, NY
- NPI 1265478150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1801129481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DAYTON LN",
"address_2": "SUITE 202",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662859",
"telephone_number": "914-739-0087",
"fax_number": "914-723-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674144",
"telephone_number": "914-734-3600",
"fax_number": "914-734-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREPETIT",
"first_name": "PATRICK",
"middle_name": "JEAN FLORIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "254520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.