Organization Active NPI

Degliuomini&Fitzpatrick

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1265551386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
167565 Issued in NY
Legal business name
DEGLIUOMINI&FITZPATRICK
Practice address
7220 17TH Ave
Brooklyn, NY 11204-5141
Phone
(718) 256-4093
Fax
(718) 837-7815
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward T. Fitzpatrick, M.D.NPI 1891795431
Title
Physician
Phone
(718) 256-4093

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
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 167565 NY Primary

Addresses

Primary practice location

7220 17TH Ave
Brooklyn, NY 11204-5141

Mailing address

7220 17TH Ave
Brooklyn, NY 11204-5141
Phone (718) 256-4093

Other identifiers 2

IdentifierTypeStateIssuer
1891795431OtherNYPERSONAL NPI
01432360MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Degliuomini and Fitzpatrickpllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265551386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045141",
            "telephone_number": "718-256-4093",
            "fax_number": "718-837-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045141",
            "telephone_number": "718-256-4093",
            "fax_number": "718-837-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGLIUOMINI&FITZPATRICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-256-4093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "167565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1891795431",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432360",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.