John J Fiordalisi, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

1692381 Issued in NY

Practice address

2800 Marcus Ave
New Hyde Park, NY 11042-1008

Phone

(516) 622-6131

Fax

(516) 622-7401

NPI assigned

Oct 25, 2006

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abbe J Carni MD PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1447324629
  NPD (past)
• East End Anesthesiologists LLC

  • Anesthesiology Physician
  • Southampton, NY
  • NPI 1194778084
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1558445494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HAMPTON BAYS DR",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463007",
            "telephone_number": "631-723-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421008",
            "telephone_number": "516-622-6131",
            "fax_number": "516-622-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORDALISI",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "1692381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN/TPAN",
            "identifier": "45F35ZT2E1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "299T01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetrius Filoukatjis, DMD
• Vanessa Finazzo
• Rosemary Elizabeth Fine, NP
• Nika Finelt, MD
• Alex Fiola, DPM
• Michael V Fiorella
• Andrew Fiorica
• Jonathan D Fish, M.D.
• Martin Fisher, MD
• Richard Fisher

• Anesthesiology Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.