Mrs Elise Desperito, MD | |
622 W 168th St, New York, NY 10032 | |
(212) 305-9335 | |
(212) 305-8636 |
Full Name | Mrs Elise Desperito |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 622 W 168th St, New York, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972539153 | NPI | - | NPPES |
W35021 | Other | NY | MEDICARE GROUP # |
1467560854 | Other | NY | NPI GROUP# |
02186203 | Other | NY | MEDICAID GROUP # |
01892819 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2103351 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mskcc Radiology Group | 3971494683 | 176 |
Entity Name | Trustees Of Columbia University In The City Of New York |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467560854 PECOS PAC ID: 3072403393 Enrollment ID: O20040318001241 |
Entity Name | Mskcc Radiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639159692 PECOS PAC ID: 3971494683 Enrollment ID: O20040323000353 |
Entity Name | Trustees Of Columbia University In The City Of New York |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
Entity Name | Columbiadoctors/newyork-presbyterianimaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902345986 PECOS PAC ID: 6608141981 Enrollment ID: O20171012002443 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elise Desperito, MD 630 West 168th Street, Columbia Presbyterian Radiology Mc 28, New York, NY 10032 Ph: (212) 305-1948 | Mrs Elise Desperito, MD 622 W 168th St, New York, NY 10032 Ph: (212) 305-9335 |
Dr. Vincent Graziano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 W 11th St, Apt 1a, New York, NY 10011 Phone: 646-407-2044 | |
Dr. Ankur Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 226 E 29th St, Apt 5d, New York, NY 10016 Phone: 646-621-7240 Fax: 718-343-7463 | |
Dr. Cyril Varghese, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 506 Lenox Ave, New York, NY 10037 Phone: 844-692-4692 | |
Dr. Stephen P Reis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Columbia University Department Of Radiology, 622 West 168th Street Pb-1-301, New York, NY 10032 Phone: 212-305-1948 | |
Dr. Matthew Chiarello, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5506 | |
Nelly Huppert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 E. 34th St, New York, NY 10016 Phone: 212-731-6033 Fax: 212-731-5513 | |
Dr. Patrick Colin Malloy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, Radiology Service, New York, NY 10010 Phone: 212-686-7500 |