Naomi Pelzig, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

146693 Issued in NY

Practice address

42 Main St
Nyack, NY 10960-3204

Phone

(845) 642-4016

Fax

(845) 535-3446

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nyack Integrated Medical Services, P.C.

  • General Practice Physician
  • Nyack, NY
  • NPI 1245523984
  Authorized official Same address or phone

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1922194885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603204",
            "telephone_number": "845-642-4016",
            "fax_number": "845-535-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603204",
            "telephone_number": "845-642-4016",
            "fax_number": "845-535-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109603204",
            "country_code": "US",
            "telephone_number": "845-353-3267",
            "fax_number": "845-353-3628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELZIG",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "146693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION BOAR",
            "identifier": "146693-7",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P413284",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyanka Patel, PA-C
• Aaron Patterson Lopes, M.D., M.B.A, M.A.
• Ludva Paul
• Kristina Peckins, LMHC
• Peter Bucaro Peloquin, M.D.
• Belkys Altagracia Perdomo Ortiz, COTA
• Angelica Maria Perez, PHD
• Mona Perez, N.P.
• Noelia Perez, LCSW
• Veronica Perez

• General Practice Physician in Nyack, NY
• Providers in Nyack, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.

Verify at the official NPI Registry.