Individual provider Active NPI

Paul Anthony Auteri, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1639140858
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
160841 Issued in NY
Practice address
1694 64TH St
Brooklyn, NY 11204-2715
Phone
(718) 232-4990
Fax
(718) 259-1751
NPI assigned
Jan 27, 2006
Last updated
Feb 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 160841 NY Primary

Addresses

Primary practice location

1694 64TH St
Brooklyn, NY 11204-2715

Mailing address

1694 64TH Street
Brooklyn, NY 11204-2715
Phone (718) 232-4990

Other identifiers 1

IdentifierTypeStateIssuer
01721860MedicaidNY

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
I20100902001151 NY Practitioner - Family Practice 3375667942 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
29.76 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160841NYMDFamily Medicine Physician

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1639140858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 64TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042715",
            "telephone_number": "718-232-4990",
            "fax_number": "718-259-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042715",
            "telephone_number": "718-232-4990",
            "fax_number": "718-259-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTERI",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "160841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01721860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.