De Fazio Obstetrics & Gynecology, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

178425 Issued in NY

Legal business name

DE FAZIO OBSTETRICS & GYNECOLOGY, PC

Practice address

1301 82ND St
Box 26
Brooklyn, NY 11228-3007

Phone

(718) 836-3721

Fax

(718) 259-6567

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark De Fazio, MDNPI 1073586343

Title

Owner

Phone

(718) 836-3721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Mark L Defazio, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1073586343
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory V Defazio, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1164495628
  Medicare reassignment Care Compare group NPD
• Mehribon Ahadova, FNP

  • Family Nurse Practitioner
  • North Bellmore, NY
  • NPI 1245048669
  Medicare reassignment NPD
• Andrew L Defazio, MD

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1568435824

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1447594916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 82ND ST",
            "address_2": "BOX 26",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283007",
            "telephone_number": "718-836-3721",
            "fax_number": "718-259-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 82ND ST",
            "address_2": "BOX 26",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283007",
            "telephone_number": "718-836-3721",
            "fax_number": "718-259-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE FAZIO OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "DE FAZIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-836-3721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "178425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol VR De Costa, MD
• Dean Michael De Crisce, M.D.
• Margaret Rose De Cruz, DC, LMT
• Vanessa De Danzine, PA
• Elaine De Dios
• Darrin L De Feo, LAC
• Melina Antonia De Four, M.D.
• Lisandra De Fraga, COTA
• Michael De Francesco
• Melanee De Gannes, LPN

• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.