Edward Brucia

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

660 Broadway
Massapequa, NY 11758-2391

Phone

(516) 798-0111

Fax

(516) 798-0152

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1649407495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745",
            "telephone_number": "516-992-4700",
            "fax_number": "516-992-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582391",
            "telephone_number": "516-798-0111",
            "fax_number": "516-798-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCIA",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Brown-Riggs, MSED, RD, CDE, CDN
• Carole Brown, LCSW
• Corrina Ede Brown, PH.D.
• Lois Brown
• Danielle Brozik, LCSW
• Philip John Bruno, PT
• Joseph J. Brusca, D.C.
• Anique April Brusch
• Jasmine Bryant
• Staci Glee Bryson-Des Rault, LMHC

• Medical Physician Assistant in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.