MR. PAVEL ODINTSOV APN NPI 1073893178

NPI Information

  • NPI: 1073893178
  • Provider Name: MR. PAVEL ODINTSOV, APN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 182 S MAIN ST STE 106
    NEW CITY, NY
    ZIP 10956
  • Phone: (845) 358-4000

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NPI Details

MR. Pavel Odintsov, APN is a primary care nurse practitioner in New City, NY. MR. Pavel Odintsov, APN NPI is 1073893178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

182 S MAIN ST STE 106
NEW CITY, NY
ZIP 10956-318
Phone: (845) 358-4000
Fax: (201) 529-5913

The NPI 1073893178 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health306748NEW YORKNo
2363LA2200XNurse PractitionerAdult Health26NJ00337800NEW JERSEYNo
3363LP2300XNurse PractitionerPrimary Care306748NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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