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 | 207LP2900X | Anesthesiology | Pain Medicine | 191595 | NEW YORK | No |
| 2 | 208VP0000X | Pain Medicine | Pain Medicine | 191595 | NEW YORK | No |
| 3 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | 191595 | 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 | 5508704 | OTHER | NEW YORK | GHI PPO GROUP NUMBER |
| 2 | 141806863 | OTHER | NEW YORK | UNITED HEALTH CARE |
| 3 | 050078269 | OTHER | NEW YORK | RAIL ROAD MEDICARE |
| 4 | 5301566 | OTHER | NEW YORK | GHI PPO DR. APICELLA'S # |
| 5 | AA0505 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | GROUP # FOR ACPM |
| 6 | 4868 | OTHER | NEW YORK | CDPHP GROUP # |
| 7 | 5403572 | OTHER | NEW YORK | AETNA |
| 8 | 10000049 | OTHER | NEW YORK | CDPHP |
| 9 | 110586100 | OTHER | NEW YORK | DEPT OF LABOR/POSTAL WORK |
| 10 | G04192 | MEDICARE UPIN | NEW YORK | |
| 11 | 01565035 | MEDICAID | NEW YORK | |
| 12 | 000405461007 | OTHER | NEW YORK | BSNENY |
| 13 | EA03087930 | OTHER | NEW YORK | EMPIRE/ BLUE CHOICE |
| 14 | 05641 | OTHER | NEW YORK | MVP |
| 15 | CC0430 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | DR. APICELLA'S NUMBER |
