DR. VADIM PISARENKO M.D. NPI 1609020981

NPI Information

  • NPI: 1609020981
  • Provider Name: DR. VADIM PISARENKO, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 MAMARONECK AVENUE
    SUITE 211
    HARRISON, NY
    ZIP 10528
  • Phone: (201) 546-1729

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NPI Details

DR. Vadim Pisarenko, M.D. is a plastic and reconstructive surgery surgery in Harrison, NY with 23 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Vadim Pisarenko, M.D. NPI is 1609020981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

500 MAMARONECK AVENUE
SUITE 211
HARRISON, NY
ZIP 10528-633
Phone: (201) 546-1729

The NPI 1609020981 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 11/12/2008 and was last updated on 6/27/2012.

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
1208600000XSurgery25MA08167400NEW JERSEYNo
22086S0122XSurgeryPlastic and Reconstructive Surgery246066NEW 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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