Organization Active NPI

Riso Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1437523420
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271041 Issued in NY
Legal business name
RISO MEDICAL P.C.
Practice address
8014 13TH Ave
Brooklyn, NY 11228-3002
Phone
(347) 635-4461
NPI assigned
Nov 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Stephen L Riso, MDNPI 1639498959
Title
President
Phone
(347) 635-4461

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 271041 NY Primary

Addresses

Primary practice location

8014 13TH Ave
Brooklyn, NY 11228-3002

Mailing address

399 Loretto St
Staten Island, NY 10307-2202
Phone (347) 635-4461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718000830 NY Part B Supplier - Clinic/Group Practice 7517259294 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Staten Island, NY

National Provider Directory

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": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1437523420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 LORETTO ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103072202",
            "telephone_number": "347-635-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283002",
            "telephone_number": "347-635-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISO MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "RISO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-635-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271041",
            "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 Aug 5, 2022; 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.