MARY L RIVERA-CASAMENTO MD
NPI 1205225430
Obstetrics & Gynecology in New York, NY

NPI Status: Active since January 12, 2015

Contact Information

936 5TH AVE
NEW YORK, NY
ZIP 10021
Phone: (212) 734-1893
Fax: (212) 734-0431

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  • Individual
  • Female
  • Obstetrics & Gynecology
  • PECOS Enrolled
  • CLIA Number: 33D2182241
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-16-2026

About MARY RIVERA-CASAMENTO

This page provides the complete NPI Profile along with additional information for Mary Rivera-casamento, a women's health care provider established in New York, New York with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1205225430 assigned on January 2015. The practitioner's primary taxonomy code is 207V00000X with license number 184651 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1205225430
Provider Name
MARY L RIVERA-CASAMENTO MD
Gender
Female
Entity Type
Individual
Location Address
936 5TH AVE NEW YORK, NY 10021
Location Phone
(212) 734-1893
Location Fax
(212) 734-0431
Mailing Address
936 5TH AVE NEW YORK, NY 10021
Mailing Phone
(212) 734-1893
Mailing Fax
(212) 734-0431
Is Sole Proprietor?
No
Enumeration Date
01-12-2015
Last Update Date
01-12-2015
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Women's health care providers like Mary Rivera-casamento treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
184651
License State
NY
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Medicare Participation & PECOS Enrollment Status

Mary Rivera-casamento is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10021 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $150.24
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $37.56
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.44
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $20.36
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2182241
Facility Type
Physician Office
Certificate Effective Date
April 17, 2024
Certificate Expiration Date
April 16, 2026
Laboratory Director
DR. MARY RIVERA CASMENTO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mary Rivera-casamento to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205225430, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 4 + 2 + 1 + 0 + 4 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1205225430.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Critical Care Medicine)
936 5TH AVE
NEW YORK CITY, NY 10021
Psychiatry & Neurology (Psychiatry)
936 5TH AVE, STE 4
NEW YORK, NY 10021
Psychiatry & Neurology (Psychiatry)
936 5TH AVE, SUITE # 4
NEW YORK, NY 10021
Obstetrics & Gynecology
936 5TH AVE, SUITE2
NEW YORK, NY 10021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205225430, enumerated as an "individual" on January 12, 2015.

The provider is located at 936 5TH AVE NEW YORK, NY 10021 and the phone number is (212) 734-1893.

Obstetrics & Gynecology with taxonomy code 207V00000X.