Individual provider Active NPI

Giovanni Pinello, PA-C

  • Physician Assistant
  • Valley Stream, NY
National Provider Identifier
1811543739
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023830 Issued in NY
Practice address
125 Franklin Ave
Valley Stream, NY 11580-2165
Phone
(516) 887-1787
NPI assigned
Aug 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 023830 NY Primary

Addresses

Primary practice location

125 Franklin Ave
Valley Stream, NY 11580-2165

Mailing address

6833 Central Ave
Glendale, NY 11385-6643
Phone (646) 573-6987

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002001959 NY Practitioner - Physician Assistant 5092045112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Musculoskeletal Care MD PCGroup PAC ID 9537058573, 14 clinicians

Practice addresses (Care Compare)

10825 Jamaica Ave
Richmond Hill, NY 11418-2243
Phone (718) 849-2321

125 Franklin Ave
Valley Stream, NY 11580-2165
Phone (516) 887-1787

125 Franklin Ave
203 Island Musculoskeletal Care MD PC
Hewlett, NY 11557-1429

2475 Eastchester Rd
Bronx, NY 10469-5915
Phone (718) 882-5314

485 N Ocean Ave
Patchogue, NY 11772-1762
Phone (631) 475-0353

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023830NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care, MD, PC Multi-Specialty CurrentSince Sep 9, 2019 Accepting new patients

Locations

1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031

485 New North Ocean Ave
Patchogue, NY 11772
Phone (631) 289-0338

Networks

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

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1811543739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 CENTRAL AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856643",
            "telephone_number": "646-573-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802165",
            "telephone_number": "516-887-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINELLO",
        "first_name": "GIOVANNI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.