DR. ERIC MAKOLO MD NPI 1558359935

NPI Information

NPI: 1558359935
Provider Name: DR. ERIC MAKOLO, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
105 STEVENS AVE
SUITE 609
MOUNT VERNON, NY
ZIP 10550
Phone: (914) 663-6663
Get Directions

DR. Eric Makolo, MD is a pulmonary disease internal medicine in Mount Vernon, NY with 42 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Eric Makolo, MD NPI is 1558359935. 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:

105 STEVENS AVE
SUITE 609
MOUNT VERNON, NY
ZIP 10550-686
Phone: (914) 663-6663

The NPI 1558359935 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 enumeration date for this NPI number is 10/11/2005 and was last updated on 7/23/2012.

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		190317	NEW YORK	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	190317	NEW YORK	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	190317	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	524823030	OTHER		CIGNA HEALTHCARE HMO
2	2475623	OTHER		AETNA US HEALTHCARE HMO (
3	01897070	MEDICAID	NEW YORK
4	0000201801001	OTHER		UNITED HEALTHCARE
5	2C9321	OTHER		HEALTHNET
6	P2120827	OTHER		OXFORD HEALTH PLAN
7	F63879	MEDICARE UPIN	NEW YORK
8	5248234003	OTHER		CIGNA HEALTHCARE PPO
9	9640822	OTHER		G.H.I.
10	7521135	OTHER		AETNA US HEALTHCARE PPO
11	2466949	OTHER		AETNA US HEALTHCARE HMO (
12	EM092H4410	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
13	190317	OTHER		HIP

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: 4/28/2024

NPI Synchronization or Removal

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