MARCO PAPPAGALLO MD NPI 1720069610

NPI Information

NPI: 1720069610
Provider Name: MARCO PAPPAGALLO, MD
Classification: Pain Medicine - 208VP0014X
Specialization: Interventional Pain Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 5 E 128TH ST
NEW YORK, NY
ZIP 10035
Phone: (917) 692-6243

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NPI Details

Marco Pappagallo, MD is an interventional pain medicine pain medicine in New York, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Marco Pappagallo, MD NPI is 1720069610. 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:

5 E 128TH ST
NEW YORK, NY
ZIP 10035-282
Phone: (917) 692-6243
Fax: (646) 799-9727

The NPI 1720069610 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 11/8/2005 and was last updated on 12/23/2019.

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	2084N0400X	Psychiatry & Neurology	Neurology	180493	NEW YORK	No
2	2084N0400X	Psychiatry & Neurology	Neurology	25MA09578600	NEW JERSEY	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	180493	NEW YORK	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	25MA09578600	NEW JERSEY	No
5	208VP0014X	Pain Medicine	Interventional Pain Medicine	25MA09578600	NEW JERSEY	No
6	208VP0014X	Pain Medicine	Interventional Pain Medicine	180493	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	01982838	MEDICAID	NEW 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: 11/21/2025

NPI Synchronization or Removal

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