Organization Active NPI

Ludwig M Licciardi MD PC

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1134320690
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LUDWIG M LICCIARDI MD PC
Practice address
9020 5TH Ave
Brooklyn, NY 11209-5908
Phone
(718) 836-8888
Fax
(718) 680-1838
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. Ludwig Lucciardi, MD
Title
Owner
Phone
(718) 836-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

9020 5TH Ave
Brooklyn, NY 11209-5908

Mailing address

9020 5TH Ave
Brooklyn, NY 11209-5908
Phone (718) 836-8888

Other names 1

  • Hamilton Medical Services Doing business as

National Provider Directory

National Provider Directory

Locations

9020 5th Ave
#2
Brooklyn, NY 11209
Phone (718) 283-2600

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1134320690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095908",
            "telephone_number": "718-836-8888",
            "fax_number": "718-680-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095908",
            "telephone_number": "718-836-8888",
            "fax_number": "718-680-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDWIG M LICCIARDI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "LUCCIARDI",
        "authorized_official_first_name": "LUDWIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-836-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.