Organization Active NPI

Roseann Fazio DO PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1225358187
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROSEANN FAZIO DO PC
Practice address
7401 10TH Ave
Brooklyn, NY 11228-1911
Phone
(718) 238-0024
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Dr. Roseann Fazio, DONPI 1376620310
Title
President
Phone
(718) 238-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NY Primary

Addresses

Primary practice location

7401 10TH Ave
Brooklyn, NY 11228-1911

Mailing address

7401 10TH Ave
Brooklyn, NY 11228-1911
Phone (718) 238-0024

National Provider Directory

National Provider Directory

Locations

7401 10th Ave
Brooklyn, NY 11228
Phone (718) 238-0024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1225358187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281911",
            "telephone_number": "718-238-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281911",
            "telephone_number": "718-238-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEANN FAZIO DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.