Individual provider Active NPI

Robert Joseph Terzuoli, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1568425882
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
146647-1 Issued in NY
Practice address
2481 Stuart St
Brooklyn, NY 11229-5815
Phone
(718) 332-5553
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 146647-1 NY Primary

Addresses

Primary practice location

2481 Stuart St
Brooklyn, NY 11229-5815

Mailing address

2481 Stuart St
Brooklyn, NY 11229-5815
Phone (718) 332-5553

Other identifiers 1

IdentifierTypeStateIssuer
00810435MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818002965 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8325058217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146647-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Group P C Gastroenterology Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Ruggieri Medical, P.C. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1568425882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 STUART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295815",
            "telephone_number": "718-332-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 STUART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295815",
            "telephone_number": "718-332-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERZUOLI",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "146647-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00810435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.