Individual provider Active NPI

Visitacion Pabicon, MD

  • Anatomic Pathology Physician
  • Staten Island, NY
National Provider Identifier
1952379992
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
221683 Issued in NY
Practice address
1 Edgewater Plaza
1St FL. Lab
Staten Island, NY 10305
Phone
(718) 226-4130
Fax
(718) 226-4185
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221683 NY
Anatomic Pathology Physician 207ZP0101X 221683 NY Primary

Addresses

Primary practice location

1 Edgewater Plaza
1St FL. Lab
Staten Island, NY 10305

Mailing address

1 Edgewater St
6TH FL. Payer Relations
Staten Island, NY 10305-4900
Phone (718) 226-1008

Other identifiers 2

IdentifierTypeStateIssuer
P00017882OtherRAILROAD MEDICARE
P00834565OtherNYRAILROAD MEDICARE # GRP. DN0541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220119002439 FL Practitioner - Pathology 8921196668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians

Practice addresses (Care Compare)

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-1072

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Regional Laboratories Pathology Services, LLC CurrentSince Jan 17, 2022 Accepting new patients
Englewood Pathologists, PA Anatomic Pathology PastSince Sep 8, 2024 Accepting new patients
Seaview Pathology PC Past Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1952379992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "address_2": "6TH FL. PAYER RELATIONS",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054900",
            "telephone_number": "718-226-1008",
            "fax_number": "718-226-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER PLAZA",
            "address_2": "1ST FL. LAB",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-4130",
            "fax_number": "718-226-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABICON",
        "first_name": "VISITACION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221683",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "221683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE # GRP. DN0541",
            "identifier": "P00834565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.