Luzato Medical Group, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LUZATO MEDICAL GROUP, P.C.

Practice address

50 E 42ND St RM 508
New York, NY 10017-5436

Phone

(212) 661-7003

Fax

(212) 661-7005

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Jack Bruder, M.D.NPI 1518974328

Title

President

Phone

(212) 691-3066

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Luzato Medical Group P.C.

  • Gastroenterology Physician
  • College Point, NY
  • NPI 1164576385

  O20090224000459

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jack Bruder MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luzato Medical Group, P.C.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1194844563
  NPD tax ID

Locations

Practitioners 8

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

• Jack Bruder, M.D.

  • Urology Physician
  • New York, NY
  • NPI 1518974328
  Medicare reassignment Authorized official
• Richard Paul Friedlander, M.D.

  • Cardiovascular Disease Physician
  • Forest Hills, NY
  • NPI 1528054137
  Medicare reassignment
• Marina Royzman, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1568410710
  Medicare reassignment
• Allen B Chefitz, MD

  • Surgery Physician
  • New Rochelle, NY
  • NPI 1619077856
  NPD (past)
• Suhasini Jonnavithula, MD

  • Internal Medicine Physician
  • College Point, NY
  • NPI 1790966265
  NPD (past)
• Moosa Nejat, M.D.

  • Specialist
  • Great Neck, NY
  • NPI 1972519965
  NPD (past)
• David Resnick

  • Allergy Physician
  • West Nyack, NY
  • NPI 1922064435
  NPD (past)
• Dillian La Salle, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1659307569
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1649429382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 42ND ST RM 508",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175436",
            "telephone_number": "212-661-7003",
            "fax_number": "212-661-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 42ND ST RM 508",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175436",
            "telephone_number": "212-661-7003",
            "fax_number": "212-661-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZATO MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BRUDER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-691-3066",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Luyando
• Elijah James Luyten, MD
• Lynette C. Luz, N.P.
• Joseph Lee Luzarraga
• Luzato Medical Group, P.C.
• Anna Luzhkova
• Leina Luzuriaga
• Rose Anne Mae Salazar Luzuriaga, DPT
• Andrew Luzzi, MD
• Galina Lvova, PHARM.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.