Active NPI
Joseph Burrascano Jr., M.D.
- Internal Medicine Physician
- East Hampton, NY
National Provider Identifier
1043474554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 145623
- Practice address
- 139 Springs Fireplace Rd
East Hampton, NY 11937-2016 - Phone
- (631) 726-4419
- Fax
- (631) 287-5403
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 145623 | NY | Primary |
Addresses
Primary practice location
139 Springs Fireplace Rd
East Hampton, NY 11937-2016
Mailing address
PO Box 1292
Water Mill, NY 11976-1292
Phone (631) 726-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130402000272 | NY | Order and Referring Only - Internal Medicine | 0648237883 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1043474554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1292",
"city": "WATER MILL",
"state": "NY",
"postal_code": "119761292",
"telephone_number": "631-726-4419",
"fax_number": "631-287-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SPRINGS FIREPLACE RD",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "119372016",
"telephone_number": "631-726-4419",
"fax_number": "631-287-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRASCANO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "145623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.