Organization Active NPI

Fiasconaro&Fiasconaro,M.D.,P.C.

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1538314463
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
133854 Issued in NY
Legal business name
FIASCONARO&FIASCONARO,M.D.,P.C.
Practice address
7502 Colonial Rd
Brooklyn, NY 11209-2906
Phone
(718) 748-8484
Fax
(718) 680-2011
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Santo G Fiasconaro, M.D.
Title
Pres.
Phone
(718) 748-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 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

IdentifierTypeStateIssuer
00447287MedicaidNY

National Provider Directory

National Provider Directory

Locations

7502 Colonial Rd
Brooklyn, NY 11209
Phone (718) 630-5770

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1538314463",
    "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": {
        "organization_name": "FIASCONARO&FIASCONARO,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "FIASCONARO",
        "authorized_official_first_name": "SANTO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "718-748-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "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 Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.