Individual provider Active NPI

Luigia Gina Notaristefano, M.D.

  • Internal Medicine Physician
  • Brewster, NY
National Provider Identifier
1093897118
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203453 Issued in NY
Practice address
1591 Route 22
Brewster, NY 10509-4026
Phone
(845) 278-8797
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203453 NY Primary

Addresses

Primary practice location

1591 Route 22
Brewster, NY 10509-4026

Mailing address

1591 Route 22
Brewster, NY 10509-4026
Phone (845) 278-8797

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Internal Medicine Past Accepting new patients
Route 22 Medical PC Internal Medicine PastSince Feb 9, 2005 Accepting new patients
Wholistic Physical Therapy, PC PastSince Jul 3, 2002 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1093897118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 ROUTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094026",
            "telephone_number": "845-278-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 ROUTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094026",
            "telephone_number": "845-278-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTARISTEFANO",
        "first_name": "LUIGIA",
        "middle_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.