DR. MARK J PETRINI M.D.
NPI 1366477085
Psychiatry & Neurology - Psychiatry in New York, NY

Active since July 11, 2006Opted out of Medicare · through Feb 24, 2028
118 W 79TH ST, SUITE 1A, NEW YORK, NY 10024(212) 787-0519(212) 305-4724 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark J Petrini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK J PETRINI M.D. (NPI 1366477085) is an individual psychiatry provider in New York, New York, licensed in New York (230299) and active in the NPI registry since July 2006. He has opted out of Medicare through February 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366477085
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARK J PETRINICredential: M.D.
Location Address118 W 79TH ST, SUITE 1ANew York, NY 10024-6445
Mailing Address118 W 79th St, Suite 1aNew York, NY 10024-6445 · (212) 787-0519 · Fax (212) 305-4724
Fax(212) 305-4724
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366477085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 230299
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

118 W 79TH ST, New York, NY 10024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark J Petrini M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 24, 2016 through February 24, 2028.

Opt-Out Effective DateFebruary 24, 2016
Opt-Out In Effect ThroughFebruary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
118 W 79TH ST, SUITE 1A
NEW YORK, NY 10024
Psychologist (Clinical)
118 W 79TH ST, 1A
NEW YORK, NY 10024
Psychologist (Clinical)
118 W 79TH ST, SUITE 1A
NEW YORK, NY 10024

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 Mark Petrini's NPI number?

The NPI number for Mark Petrini is 1366477085. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mark Petrini located?

Mark Petrini practices at 118 W 79th St Suite 1A, New York, NY 10024. The listed phone number is (212) 787-0519.

What is Mark Petrini's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Petrini enrolled in Medicare?

No. Mark Petrini has opted out of Medicare through February 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Petrini was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.