Individual provider Active NPI

Fred Eugene Notarnicola Sr., MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1235239799
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226352 Issued in NY
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

Updated by the provider on Nov 3, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000175 NY Practitioner - Internal Medicine 6002091972 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

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
American Medical Today PCGroup PAC ID 1254680366, 7 clinicians

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

LicenseStateTypeSpecialty
226352NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Total Medical Care, P.C. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Maimonides Medical Center Current Accepting new patients
U.S. Mobile Medical Care, PLLC Internal Medicine CurrentSince Mar 9, 2024 Accepting new patients
American Medical Today P.C. Internal Medicine CurrentSince Jun 10, 2024 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

  • Direct secure messaging: frednotarnicola@mai.allscriptsdirect.net
  • FHIR API: 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.

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

Verify at the official NPI Registry.