Organization Active NPI

Calogero C. Tumminello, M.D., P.C.

  • Internal Medicine Physician
  • Middle Village, NY
National Provider Identifier
1578552105
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185-153 Issued in NY
Legal business name
CALOGERO C. TUMMINELLO, M.D., P.C.
Practice address
7817 Metropolitan Ave
Middle Village, NY 11379-2928
Phone
(718) 497-1399
Fax
(718) 497-1451
NPI assigned
Oct 17, 2005
Organization subpart
Yes
Parent organization
CALOGERO C. TUMMINELLO, MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Authorized official

Name
Dr. Calogero C Tumminello, M.D.NPI 1346239969
Title
Ceo/President
Phone
(718) 497-1399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 185-153 NY Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 185-153 NY

Addresses

Primary practice location

7817 Metropolitan Ave
Middle Village, NY 11379-2928

Mailing address

7817 Metropolitan Ave
Middle Village, NY 11379-2928
Phone (718) 497-1399

Other identifiers 2

IdentifierTypeStateIssuer
01335175MedicaidNY
33D1019073OtherNYCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000053 NY Part B Supplier - Clinic/Group Practice 1658316260 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Middle Village, NY

National Provider Directory

National Provider Directory
Part of
Calogero C Tumminello MD PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297468800000",
    "number": "1578552105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792928",
            "telephone_number": "718-497-1399",
            "fax_number": "718-497-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792928",
            "telephone_number": "718-497-1399",
            "fax_number": "718-497-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALOGERO C. TUMMINELLO, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALOGERO C. TUMMINELLO, MD, PC",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-02-12",
        "status": "A",
        "authorized_official_last_name": "TUMMINELLO",
        "authorized_official_first_name": "CALOGERO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "718-497-1399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185-153",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "185-153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335175",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D1019073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.