Active NPI
Alessandra Bruzzese, MSN RN, AGPCNP-C
- Geriatric Medicine (Family Medicine) Physician
- Massapequa Park, NY
National Provider Identifier
1144908286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- F310842-01
- Practice address
- 127 Whitewood Dr
Massapequa Park, NY 11762-3931 - Phone
- (516) 965-8421
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | F310842-01 | NY | Primary |
Addresses
Primary practice location
127 Whitewood Dr
Massapequa Park, NY 11762-3931
Mailing address
127 Whitewood Dr
Massapequa Park, NY 11762-3931
Phone (516) 965-8421
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F310842-01 | NY | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1144908286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 WHITEWOOD DR",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623931",
"telephone_number": "516-965-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 WHITEWOOD DR",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623931",
"telephone_number": "516-965-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUZZESE",
"first_name": "ALESSANDRA",
"credential": "MSN RN, AGPCNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "F310842-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.