Individual provider Active NPI

William Anthony Florio Jr., M.D.

  • Geriatric Psychiatry Physician
  • Rego Park, NY
National Provider Identifier
1154426229
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
128182 Issued in NY
Practice address
8502 67TH Ave
Rego Park, NY 11374-5214
Phone
(917) 273-2997
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 128182 NY Primary

Addresses

Primary practice location

8502 67TH Ave
Rego Park, NY 11374-5214

Mailing address

12 Dogwood LN
Weston, CT 06883-1904
Phone (917) 273-2997

Other practice location 1

12 Dogwood Ln
Weston, CT 06883-1904
Phone (917) 273-2997

Other identifiers 1

IdentifierTypeStateIssuer
00276366MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000118 NY Practitioner - Psychiatry 4789683830 Practice locations: Brooklyn, NY; Rego Park, NY; Westbury, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Brush Hollow Rd
Westbury, NY 11590-1712
Phone (917) 273-2997

8502 67TH Ave
Rego Park, NY 11374-5214
Phone (917) 273-2997

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128182NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Beach Medical PC Past Accepting new patients

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1154426229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOGWOOD LN",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831904",
            "telephone_number": "917-273-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 67TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745214",
            "telephone_number": "917-273-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "CT",
            "postal_code": "068831904",
            "country_code": "US",
            "telephone_number": "917-273-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORIO",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "128182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00276366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.