Louis John Difazio, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

151941-1 Issued in NY

Practice address

2371 Arthur Ave
Bronx, NY 10458-8113

Phone

(718) 364-6199

Fax

(718) 364-6502

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1245231083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588113",
            "telephone_number": "718-364-6199",
            "fax_number": "718-364-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588113",
            "telephone_number": "718-364-6199",
            "fax_number": "718-364-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFAZIO",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151941-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "35D611",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Dietrich, L.M.S.W
• Samantha Dietzel, CCC-SLP
• Henry Dieu
• Marie Natacha Dieudonne, FNP
• Juventino Diez
• Different Approach Therapy Inc.
• Diffo DS Corp.
• Mariah M Difiore
• Yvette Rosemary Difo, FNP
• Michael Dante Difrancesco, PSYD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.