Individual provider Active NPI

Salvatore John Degliuomini, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1184786949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
164098 Issued in NY
Practice address
7220 17TH Ave
Brooklyn, NY 11204-5141
Phone
(718) 232-3512
Fax
(718) 837-7815
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 164098 NY Primary

Addresses

Primary practice location

7220 17TH Ave
Brooklyn, NY 11204-5141

Mailing address

7220 17TH Ave
Brooklyn, NY 11204-5141
Phone (718) 232-3512

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
I20101115000973 NY Practitioner - Internal Medicine 2365637444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ny Total Medical Care, P.C.Group PAC ID 9638077399, 9 clinicians

Practice addresses (Care Compare)

362 9TH St
Brooklyn, NY 11215-4008
Phone (718) 499-6099

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
American Medical Today P.C. Internal Medicine CurrentSince Dec 10, 2022 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Ny Total Medical Care, P.C. Internal Medicine CurrentSince Feb 2, 2025 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCFAA/Endpoint/BDCFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA
  • Direct secure messaging: salvatoredegliuomini@mai.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184786949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045141",
            "telephone_number": "718-232-3512",
            "fax_number": "718-837-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045141",
            "telephone_number": "718-232-3512",
            "fax_number": "718-837-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGLIUOMINI",
        "first_name": "SALVATORE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.