Individual provider Active NPI

Rosemarie Fiorillo

  • Specialist
  • Staten Island, NY
National Provider Identifier
1093077828
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
607227051 Issued in NY
Practice address
145 Russek Dr
Staten Island, NY 10312-1640
Phone
(718) 874-9675
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 607227051 NY Primary

Addresses

Primary practice location

145 Russek Dr
Staten Island, NY 10312-1640

Mailing address

145 Russek Dr
Staten Island, NY 10312-1640
Phone (718) 874-9675

Other names 1

  • Rosemarie Fanizza Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
607227051NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1093077828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RUSSEK DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121640",
            "telephone_number": "718-874-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RUSSEK DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121640",
            "telephone_number": "718-874-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORILLO",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "607227051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARIE",
            "last_name": "FANIZZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.