Organization Active NPI

Fortunato Santi Difranco M.D. P.C

  • Internal Medicine Physician
  • Ozone Park, NY
National Provider Identifier
1013257435
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FORTUNATO SANTI DIFRANCO M.D. P.C
Practice address
7506 Liberty Ave
Ozone Park, NY 11417-1034
Phone
(718) 848-9105
Fax
(718) 848-1114
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fortunato Santi Difranco, M.D.NPI 1669458295
Title
Physician
Phone
(718) 848-9105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7506 Liberty Ave
Ozone Park, NY 11417-1034

Mailing address

7506 Liberty Ave
Ozone Park, NY 11417-1034
Phone (718) 848-9105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000120 NY Part B Supplier - Clinic/Group Practice 9032355342 Receives reassigned benefits from 1 practitioner
Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1013257435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171034",
            "telephone_number": "718-848-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171034",
            "telephone_number": "718-848-9105",
            "fax_number": "718-848-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATO SANTI DIFRANCO M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "DIFRANCO",
        "authorized_official_first_name": "FORTUNATO",
        "authorized_official_middle_name": "SANTI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-848-9105",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.