Individual provider Active NPI

Victor Joseph Guadagnino, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1215939038
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
173571 Issued in NY
Practice address
8120 15TH Ave
Brooklyn, NY 11228-3120
Phone
(718) 331-3222
Fax
(718) 331-0038
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 173571 NY Primary

Addresses

Primary practice location

8120 15TH Ave
Brooklyn, NY 11228-3120

Mailing address

8120 15TH Ave
Brooklyn, NY 11228-3120
Phone (718) 331-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ, FL, NH, NM6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20100817000659 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012041791 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20250124001316 PA Practitioner - Internal Medicine 7012041791 Reassigns benefits to 1 organization
I20250128002893 NJ Practitioner - Internal Medicine 7012041791 Reassigns benefits to 1 organization
I20250405000009 FL Practitioner - Internal Medicine 7012041791 Reassigns benefits to 1 organization
I20250414002478 NH Practitioner - Internal Medicine 7012041791 Reassigns benefits to 1 organization
I20260529000478 NM Practitioner - Internal Medicine 7012041791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lumina Dr G Medical PLLCGroup PAC ID 4183152457, 11 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (516) 817-7093

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (516) 817-7093

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (516) 817-7093

1201 NE 175TH St
Miami, FL 33162-1240
Phone (516) 817-7093

15 Lord Ave
Suite 1
Lawrence, NY 11559-1321

20 Maitland St
Concord, NH 03301-3534
Phone (516) 817-7093

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (718) 331-2897

4 Edinburgh CT
Jackson, NJ 08527-1174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desonics, Inc CurrentSince Jun 1, 2017 Accepting new patients
Doctor Victor Guadagnino Medical PLLC CurrentSince May 1, 2025 Accepting new patients
Lumina Dr G Medical PLLC CurrentSince Dec 1, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Dr Rebman Medical PA Current Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Past Accepting new patients

Locations

20 Maitland St
Concord, NH 03301
Phone (516) 817-7093

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

8120 15th Ave
Brooklyn, NY 11228
Phone (718) 236-1050

3060 Ocean Ave
Ste Lp
Brooklyn, NY 11235
Phone (718) 523-7570

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

Interoperability endpoints

  • Direct secure messaging: victorguadagnino@mai.allscriptsdirect.net

Organizations & group practices 6

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 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1215939038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283120",
            "telephone_number": "718-331-3222",
            "fax_number": "718-331-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283120",
            "telephone_number": "718-331-3222",
            "fax_number": "718-331-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADAGNINO",
        "first_name": "VICTOR",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "173571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.