Active NPI
Fred Eugene Notarnicola Sr., MD
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 226352
- Practice address
- 474 Ovington Ave Ste LL
Brooklyn, NY 11209-1554 - Phone
- (718) 238-2625
- Fax
- (718) 238-2704
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226352 | NY | Primary |
Addresses
Primary practice location
474 Ovington Ave Ste LL
Brooklyn, NY 11209-1554
Mailing address
20 Wetmore Rd
Staten Island, NY 10301-4439
Phone (718) 238-2625
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
527 Coney Island Ave
FRNT 1
Brooklyn, NY 11218-3476
Phone (718) 306-5025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226352 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Total Medical Care, P.C. | Internal Medicine | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| U.S. Mobile Medical Care, PLLC | Internal Medicine | Current | Accepting new patients |
| American Medical Today P.C. | Internal Medicine | Current | Accepting new patients |
| Anthony Bertelle M.D. P.C. | Internal Medicine | Past | Accepting new patients |
Locations
474 Ovington Ave
Brooklyn, NY 11209
Phone (347) 298-4100
474 Ovington Ave
Ste Ll
Brooklyn, NY 11209
Phone (718) 238-2625
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
7105 3rd Ave
Brooklyn, NY 11209
Phone (718) 663-1842
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
14 Wall St
Fl 20
New York, NY 10005
Phone (347) 298-4100
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- frednotarnicola@mai.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/GEJGAA
Organizations & group practices 5
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1710471800
Internal Medicine
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1275625428
-
- Multi-Specialty Clinic/Center
- New York, NY
- NPI 1447947767
Internal Medicine
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1891039426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1235239799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WETMORE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014439",
"telephone_number": "718-238-2625",
"fax_number": "718-238-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 OVINGTON AVE STE LL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091554",
"telephone_number": "718-238-2625",
"fax_number": "718-238-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTARNICOLA",
"first_name": "FRED",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "226352",
"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 Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.