Active NPI
Phillip J Cosentino, MD
- Pulmonary Disease Physician
- Staten Island, NY
National Provider Identifier
1821039926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 161111
- Practice address
- 78 Todt Hill Rd
Ste 206
Staten Island, NY 10314 - Phone
- (718) 816-0034
- Fax
- (718) 727-3191
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 161111 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 161111 | NY | Primary |
Addresses
Primary practice location
78 Todt Hill Rd
Ste 206
Staten Island, NY 10314
Mailing address
78 Todt Hill Rd
Ste 206
Staten Island, NY 10314
Phone (718) 816-0034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W6L821 | Other | NY | GROUP MEDICARE ID |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 22.07 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.48 of 100
- Quality
- 82.91
- Promoting interoperability
- 5.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Todt Hill Medical Group | Internal Medicine | Current | Accepting new patients |
| Richmond University Medical Center | Past | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
78 Todt Hill Rd
Ste 206
Staten Island, NY 10314
Phone (718) 816-0034
275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829
Interoperability endpoints
- phillip.cosentino.1@19656.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1770702532
Internal Medicine
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1821039926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 TODT HILL RD",
"address_2": "STE 206",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-816-0034",
"fax_number": "718-727-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 TODT HILL RD",
"address_2": "STE 206",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-816-0034",
"fax_number": "718-727-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENTINO",
"first_name": "PHILLIP",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "161111",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "161111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE ID",
"identifier": "W6L821",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.