DR. RENA PETRELLA M.D., NPI 1992007942 — NEW YORK (NY)

NPI 1992007942

9+ Years Experience Individual

DR. RENA PETRELLA M.D.

11/24/2010
PROVIDER ENUMERATION DATE
11/24/2010
LAST UPDATE DATE
1992007942
NPI NUMBER

About DR. RENA PETRELLA

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DR. RENA PETRELLA is a provider established in NEW YORK, NY. The NPI number of DR. RENA PETRELLA is 1992007942 and was assigned on 11/24/2010. The practitioners primary taxonomy code is: 207SG0201X with license number: 170685 NY .

Mailing address

  • City: WHITE PLAINS
  • State: NY
  • Postal code: 106011510
  • Phone: 8009699933
  • Fax: 2126980305
  • Address: 10 COTTAGE PL
  • Address 2: APT 3E

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1992007942
  • Phone : 8009699933
  • Fax : 2126980305
  • Postalcode : 100192929
  • Address : 521 W 57TH ST GENZYME GENETICS

Provider taxonomy - Medical Genetics

  • Taxonomy code: 207SG0201X
  • License number: 170685
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Contacts:

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  • DR. RENA PETRELLA M.D.
  • Address : 521 W 57TH ST GENZYME GENETICS
  • Region : NEW YORK, NY
  • NPI : 1992007942
  • Phone : 8009699933
  • Fax : 2126980305
  • Postalcode : 100192929

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address521 W 57TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressGENZYME GENETICS
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100192929
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number8009699933
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2126980305
The fax number associated with the location address of the provider being identified.
NPI1992007942
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207SG0201X
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Provider Enumeration Date11/24/2010
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated11/24/2010
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. RENA PETRELLA
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address10 COTTAGE PL
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressAPT 3E
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameWHITE PLAINS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code106011510
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number8009699933
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2126980305
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207SG0201X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Medical Genetics
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Provider License Number 1170685
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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