Alex Visco MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

231025-1 Issued in NY

Legal business name

ALEX VISCO MD PC

Practice address

25 5TH Ave
Suite 1
New York, NY 10003-4307

Phone

(201) 852-2075

Fax

(201) 710-5694

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee Kilianski

Title

Office Manager

Phone

(201) 533-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1144659970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 5TH AVE",
            "address_2": "1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034307",
            "telephone_number": "201-852-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 5TH AVE",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034307",
            "telephone_number": "201-852-2075",
            "fax_number": "201-710-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX VISCO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "KILIANSKI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-533-9200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "231025-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.