Active NPI
Santo Fiasconaro, M.D.
- Obstetrics & Gynecology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 133854
- Practice address
- 7502 Colonial Rd
Brooklyn, NY 11209-2906 - Phone
- (718) 748-8484
- Fax
- (718) 680-2011
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 133854 | NY | Primary |
Addresses
Primary practice location
7502 Colonial Rd
Brooklyn, NY 11209-2906
Mailing address
7502 Colonial Rd
Brooklyn, NY 11209-2906
Phone (718) 748-8484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00447287 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Physician Services, PC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients |
Locations
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
7502 Colonial Rd
Brooklyn, NY 11209
Phone (718) 630-5770
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
9438 58th Ave
Unit G3
Elmhurst, NY 11373
Phone (718) 393-3900
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Interoperability endpoints
- sgf9003@direct.weillcornell.org
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1447274238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7502 COLONIAL RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092906",
"telephone_number": "718-748-8484",
"fax_number": "718-680-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7502 COLONIAL RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092906",
"telephone_number": "718-748-8484",
"fax_number": "718-680-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIASCONARO",
"first_name": "SANTO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "133854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00447287",
"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 Jan 6, 2015; 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.