MR. MICHAEL V. BACERDO RPA-C NPI 1578568804

NPI Information

  • NPI: 1578568804
  • Provider Name: MR. MICHAEL V. BACERDO, RPA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19 BEEKMAN ST
    NEW YORK, NY
    ZIP 10038
  • Phone: (212) 513-7711

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NPI Details

MR. Michael V. Bacerdo, RPA-C is a surgical physician assistant in New York, NY with 30 years of experience. MR. Michael V. Bacerdo, RPA-C NPI is 1578568804. 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:

19 BEEKMAN ST
NEW YORK, NY
ZIP 10038-522
Phone: (212) 513-7711
Fax: (212) 964-4861

The NPI 1578568804 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 6/14/2005 and was last updated on 7/9/2007.

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
1363AS0400XPhysician AssistantSurgical005310-1NEW YORKYes

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
15088LIMEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE #
2P93851MEDICARE UPINNEW YORK

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: 3/30/2025

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