Organization Active NPI

Brooklyn Premier Cardiology PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1427321413
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
246915 Issued in NY
Legal business name
BROOKLYN PREMIER CARDIOLOGY PC
Practice address
7509 13TH Ave
Brooklyn, NY 11228-2409
Phone
(718) 256-6800
Fax
(718) 256-6822
NPI assigned
Feb 21, 2012
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
David P. Fuschetto, M.D.NPI 1417110305
Title
President
Phone
(718) 256-6800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 246915 NY Primary
Interventional Cardiology Physician 207RI0011X 246915 NY

Addresses

Primary practice location

7509 13TH Ave
Brooklyn, NY 11228-2409

Mailing address

7509 13TH Ave
Brooklyn, NY 11228-2409
Phone (718) 256-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120518000397 NY Part B Supplier - Clinic/Group Practice 2264695808 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

7509 13th Ave
Brooklyn, NY 11228
Phone (718) 256-6800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1427321413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282409",
            "telephone_number": "718-256-6800",
            "fax_number": "718-256-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282409",
            "telephone_number": "718-256-6800",
            "fax_number": "718-256-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PREMIER CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "FUSCHETTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-256-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "246915",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "246915",
            "primary": false
        }
    ],
    "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 Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.