Organization Active NPI

Giacomino Di Giorgio MD PLLC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1053457234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193842-1 Issued in NY
Legal business name
GIACOMINO DI GIORGIO MD PLLC
Practice address
4231 164TH St
Flushing, NY 11358-2619
Phone
(718) 461-4530
Fax
(718) 766-9435
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Giacomino Di Giorgio, M.D.
Title
Owner
Phone
(718) 461-4530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 193842-1 NY Primary

Addresses

Primary practice location

4231 164TH St
Flushing, NY 11358-2619

Mailing address

4231 164TH St
Flushing, NY 11358-2619
Phone (718) 461-4530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053457234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 164TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582619",
            "telephone_number": "718-461-4530",
            "fax_number": "718-766-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 164TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582619",
            "telephone_number": "718-461-4530",
            "fax_number": "718-766-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIACOMINO DI GIORGIO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DI GIORGIO",
        "authorized_official_first_name": "GIACOMINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-461-4530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193842-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.