DR. JOHN V. PESELLO (NPI# 1396741591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396741591 |
| Entity Type | Individual |
| Full Name | DR. JOHN V. PESELLO |
| Credential | D.P.M. |
| Practice Address |
1880 Palmer Ave Ste 1b Larchmont NY 10538-3039 |
| Mailing Address |
262 North St Harrison NY 10528-1121 |
| Practice Telephone | 9148342207 |
| Mailing Telephone | 9149670033 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 65001370 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00413254 | 05 |
| Street Address |
1880 PALMER AVE STE 1B |
| City | LARCHMONT |
| State | NY |
| Zip Code | 10538-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225497126 | Crystal Michelle Cascio | Dietitian, Registered | 172 Myrtle Blvd Apt 1b, Larchmont, NY 10538 | 2016-02-19 |
| 1487097937 | Christina Erin Wallace | Acupuncturist | 132 Chatsworth Ave Apt 3a, Larchmont, NY 10538 | 2013-04-15 |
| 1033460290 | Jessica Ng | Pharmacist | 1333 Boston Post Road, Larchmont, NY 10538 | 2012-09-27 |
| 1457601908 | Naghmeh Moussapour | Licensed Practical Nurse | 126 C. Larchmot Aecers West, Larchmount, NY 10538 | 2012-09-12 |
| 1790030880 | Bernisse J Flores | Early Intervention Provider Agency | 411 Larchmont Acres, Apt A, Larchmont, NY 10538 | 2012-07-16 |
| 1073878732 | Susan Eienstein Kerz | Specialist | 17 North Brook Road, Larchmont, NY 10538 | 2012-07-09 |
| 1851653869 | Early Achievers | Early Intervention Provider Agency | 29 Pine Ridge Road, Larchmont, NY 10538 | 2012-06-14 |
| 1902166994 | Pietro Dalba Sr. | Internal Medicine | 3 Garit Lane, Larchmont, NY 10538 | 2012-05-23 |
| 1295008852 | Emil Edward Maffucci | Obstetrics & Gynecology | 24 Dimitri Place, Larchmont, NY 10538 | 2012-02-13 |
| 1295007623 | Noelle Elia, Lcsw PC | Social Worker | 4 Chatsworth Avenue, Larchmont, NY 10538 | 2012-02-01 |
| Find all providers in zip 10538 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149291 | Mitchell Rubin | Podiatrist | 2365 Boston Post Rd, Larchmont, NY 10538-3500 | 2005-10-24 |
| 1457766495 | Payel Ghosh | Podiatrist | 2365 Boston Post Rd, Ste 200, Larchmont, NY 10538 | 2014-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.