JACK P PARILLO MD NPI 1144438128

NPI Information

NPI: 1144438128
Provider Name: JACK P PARILLO, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
35 GILBERT ST
CAMBRIDGE FAMILY HEALTH CENTER
CAMBRIDGE, NY
ZIP 12816
Phone: (518) 677-3961
Get Directions

Jack P Parillo, MD is a critical care medicine internal medicine in Cambridge, NY. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Jack P Parillo, MD NPI is 1144438128. 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:

35 GILBERT ST
CAMBRIDGE FAMILY HEALTH CENTER
CAMBRIDGE, NY
ZIP 12816-618
Phone: (518) 677-3961
Fax: (518) 677-3180

The enumeration date for this NPI number is 5/21/2007 and was last updated on 6/5/2012.

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
1	207R00000X	Internal Medicine		145074	NEW YORK	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	145074-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10017565	OTHER	NEW YORK	CDPHP
2	145074A	OTHER	NEW YORK	PREFERRED CARE
3	91032	OTHER	NEW YORK	MVP
4	68E431	OTHER	NEW YORK	BLUE CROSS
5	J400019576	MEDICARE PIN	NEW YORK
6	00650266	MEDICAID	NEW YORK
7	000462005001	OTHER	NEW YORK	SENIOR BLUE
8	B82003	MEDICARE UPIN	NEW YORK
9	38427B	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE #

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: 5/5/2024

NPI Synchronization or Removal

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