PISARENKO MEDICAL PLLC
NPI 1093608663
Surgery - Plastic and Reconstructive Surgery in Harrison, NY
About Pisarenko Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PISARENKO MEDICAL PLLC (NPI 1093608663) is a healthcare organization registered as a plastic and reconstructive surgery in Harrison, New York and active in the NPI registry since June 2025. The organization lists Vadim Pisarenko, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pisarenko Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pisarenko Medical PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pisarenko Medical PLLC's NPI number?
The NPI number for Pisarenko Medical PLLC is 1093608663. It was assigned to this organization in the NPPES registry on June 2, 2025.
Where is Pisarenko Medical PLLC located?
Pisarenko Medical PLLC is located at 500 Mamaroneck Ave Ste 211, Harrison, NY 10528. The listed phone number is (914) 771-7373.
What is Pisarenko Medical PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Pisarenko Medical PLLC enrolled in Medicare?
Yes. Pisarenko Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pisarenko Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Pisarenko Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pisarenko Medical PLLC was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pisarenko Medical Pllc · NPI 1093608663
Plastic and Reconstructive Surgery organization in Harrison, New York. Organization record, active in the CMS NPPES registry since June 2, 2025.
## Identity
- **NPI:** 1093608663 (Entity type: Organization)
- **Enumerated:** June 2, 2025
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Vadim Pisarenko, OWNER
## Practice location
- **Address:** 500 MAMARONECK AVE STE 211, Harrison, NY 10528-1600
- **Phone:** (914) 771-7373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093608663) · Data from the CMS NPPES public registry.