S J Contristano MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

099572 Issued in NY

Legal business name

S J CONTRISTANO MD PC

Practice address

2462 Flatbush Ave
Suite 2
Brooklyn, NY 11234-5000

Phone

(718) 252-4414

Fax

(718) 377-1850

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Salvatore J Contristano, M.D.

Title

President

Phone

(718) 252-4414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1629244348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 YORK AVE",
            "address_2": "APT. 31D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287008",
            "telephone_number": "718-252-4414",
            "fax_number": "718-377-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 FLATBUSH AVE",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345000",
            "telephone_number": "718-252-4414",
            "fax_number": "718-377-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J CONTRISTANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CONTRISTANO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-252-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "099572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00170154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.