Active NPI
John Panzone, D.O.
- Psychiatry Physician
- Bronx, NY
National Provider Identifier
1962639088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 266901
- Practice address
- 1400 Pelham Pkwy S
Jacobi Medical Center
Bronx, NY 10461-1138 - Phone
- (718) 918-4875
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 266901 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Jacobi Medical Center
Bronx, NY 10461-1138
Mailing address
1400 Pelham Pkwy S
Jacobi Medical Center
Bronx, NY 10461-1138
Phone (718) 918-4875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 19, 2020 through Nov 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266901 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- jpanzone840896@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1962639088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "JACOBI MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "JACOBI MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZONE",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "266901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Jorge L Pantoja, DMD
- Jasmine Elizabeth Pantojas, SOCIAL WORKER
- Paula Ann Panton, LICENSED PRACTICAL N
- Katherine Anne Panushka
- Nicole Panzica
- Kevin Hua-Young Pao, PHARMD, RPH, AE-C
- Virginia Wan-Yi Pao, M.S.
- Angela Joanne Paolercio, REGISTERED NURSE
- Luca Paoluzzi, M.D.
- Demetra Papadopoulos, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.