Active NPI
Joseph Sferrazza, MD
- Internal Medicine Physician
- Floral Park, NY
National Provider Identifier
1013900935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0822301
- Practice address
- 25910 Hillside Ave
Suite L3
Floral Park, NY 11004-1649 - Phone
- (718) 343-8396
- Fax
- (718) 343-6746
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0822301 | NY | Primary |
Addresses
Primary practice location
25910 Hillside Ave
Suite L3
Floral Park, NY 11004-1649
Mailing address
235 Pond View Drive
Port Washington, NY 11050
Phone (516) 944-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0822301 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1013900935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 POND VIEW DRIVE",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "11050",
"telephone_number": "516-944-5105",
"fax_number": "516-944-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25910 HILLSIDE AVE",
"address_2": "SUITE L3",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110041649",
"telephone_number": "718-343-8396",
"fax_number": "718-343-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SFERRAZZA",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "0822301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.