Active NPI
Andrew Disimone
- Basic Emergency Medical Technician
- New York, NY
National Provider Identifier
1992002042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 045279
- Practice address
- 855 Lexington Ave
2ND Floor
New York, NY 10065-6640 - Phone
- (212) 717-4000
- Fax
- (212) 439-6238
- NPI assigned
- Feb 24, 2011
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 045279 | NY | Primary |
Addresses
Primary practice location
855 Lexington Ave
2ND Floor
New York, NY 10065-6640
Mailing address
855 Lexington Ave
2ND Floor
New York, NY 10065-6640
Phone (212) 717-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045279 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1992002042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 LEXINGTON AVE",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656640",
"telephone_number": "212-717-4000",
"fax_number": "212-439-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 LEXINGTON AVE",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656640",
"telephone_number": "212-717-4000",
"fax_number": "212-439-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISIMONE",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-24",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NY",
"license": "045279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.