Albert Defabritus, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

120801 Issued in NY

Practice address

352 7TH Ave
Suite 1003
New York, NY 10001-5012

Phone

(212) 807-8817

Fax

(212) 255-6577

NPI assigned

Jan 10, 2006

Last updated

Sep 2, 2011By 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1629057583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 7TH AVE",
            "address_2": "SUITE 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015012",
            "telephone_number": "212-807-8817",
            "fax_number": "212-255-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE",
            "address_2": "SUITE 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015012",
            "telephone_number": "212-807-8817",
            "fax_number": "212-255-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFABRITUS",
        "first_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "120801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00344472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greta Deerson, LMSW
• Paige Dalia Deertz, LMSW
• Spencer Deese-Laurent, M.D.
• Selin Deeskinazis, PSY.D.
• Mireille Deetjen, LPN
• Kaitlin L Defalco
• Jennifer Lynn Defaria
• Jessica Frances Defazio, DDS
• Lisa M Defeciani, LCSW-R
• Joseph Louis Defedele, R.PH.

• Nephrology Physician in New York, NY
• Providers in New York, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.