DR. RENA PETRELLA (NPI# 1992007942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992007942 |
| Entity Type | Individual |
| Full Name | DR. RENA PETRELLA |
| Credential | M.D. |
| Practice Address |
521 W 57th St Genzyme Genetics New York NY 10019-2929 |
| Mailing Address |
10 Cottage Pl Apt 3e White Plains NY 10601-1510 |
| Practice Telephone | 8009699933 |
| Practice Fax Number | 2126980305 |
| Mailing Telephone | 8009699933 |
| Mailing Fax Number | 2126980305 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
170685 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
521 W 57TH ST GENZYME GENETICS |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681821 | Stavra N. Romas | Psychiatry & Neurology | 521 W 57th St, 4th Fl, New York, NY 10019-2929 | 2005-12-30 |
| 1104281245 | Westside Oncology Medical Associates, P.l.l.c. | Internal Medicine | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2015-12-16 |
| 1659759959 | Lauren Puccio | Physical Therapist | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2015-05-07 |
| 1619244563 | Multiple Sclerosis Medical Practice of New York, P.c | Clinic/Center | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2011-11-21 |
| 1902193154 | Rebecca Lizarraga | Nurse Practitioner | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2011-07-07 |
| 1962702142 | Sandra Milena Roman | Genetic Counselor, MS | 521 W 57th St, New York, NY 10019-2929 | 2010-10-22 |
| 1285956458 | Kathryn Bieganousky | Clinical Medical Laboratory | 521 W 57th St, New York, NY 10019-2929 | 2010-02-16 |
| 1376873547 | Esah Ali | Spec/Tech, Pathology | 521 W 57th St, New York, NY 10019-2929 | 2010-01-11 |
| 1679807275 | Annette B. Moreno | Specialist/Technologist, Other | 521 W 57th St, New York, NY 10019-2929 | 2009-09-29 |
| 1821220468 | Kimberly Elizabeth Call | Spec/Tech, Pathology | 521 W 57th St, New York, NY 10019-2929 | 2009-08-16 |
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| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
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| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
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|---|---|---|---|---|
| 1912384603 | Meenakshi Sigireddi | Medical Genetics | 145 E 32nd St Fl 14, New York, NY 10016-6055 | 2015-05-01 |
| 1689924375 | Kasmintan Alexandra Schrader | Medical Genetics | 524 E 72nd St Apt 23a, New York, NY 10021-9802 | 2012-09-11 |
| 1538425830 | Faculty Practice Associates Mount Sinai School of Medicine | Medical Genetics | 1184 5th Ave 2nd Floor, New York, NY 10029-6503 | 2012-04-11 |
| 1386803476 | Jessica Licy Cohen-pfeffer | Medical Genetics | Box 1497, Mouns Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029 | 2008-06-04 |
| 1629149711 | Lakshmi Mehta | Medical Genetics | 1428 Madison Avenue, 1st Floor, New York, NY 10029 | 2006-11-13 |
| 1548362759 | Manisha C Balwani | Medical Genetics | 1184 Fifth Avenue, 2nd Floor, New York, NY 10029-6500 | 2006-09-01 |
| 1740202159 | Jaya B Ganesh | Medical Genetics | Genetics & Genomic Sciences, 1 Gustave Levy L. Place #1497, New York, NY 10029-6500 | 2006-07-24 |
| 1467408336 | Ethylin Wang Jabs | Medical Genetics | 1 Gustave Levy P Lace, Box 1497, New York, NY 10029-6574 | 2006-05-25 |
| 1952364952 | George Alfred Diaz | Medical Genetics | One Gustave Levy L. Place #1497, New York, NY 10029-6500 | 2006-04-10 |
| 1285600106 | St Lukes Roosevelt Hospital Center | Medical Genetics | 1000 10th Ave Ste 10c, New York, NY 10019-1147 | 2006-02-28 |
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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.