Richard Delnunzio, M.D.
Individual provider Active NPI Internal Medicine Physician · Edgemere, NY
NPI 1487697108 · NPPES record last updated Oct 11, 2007
Key facts
- NPI
- 1487697108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 154123 (NY)
- Practice address
- 353 Beach 48 Street
Edgemere, NY 11691 - Phone
- (718) 471-5000
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154123 | NY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 154123 | NY | Yes |
Addresses
Primary practice location
353 Beach 48 Street
Edgemere, NY 11691
Mailing address
43 Exeter St
Forest Hills, NY 11375-5146
Phone (718) 471-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00860444 | Medicaid | NY |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.