Organization Active NPI

Fernando Pujol MD PC

  • Infectious Disease Physician
  • Brooklyn, NY
National Provider Identifier
1699870170
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
163062 Issued in NY
Legal business name
FERNANDO PUJOL MD PC
Practice address
460 13TH St
Brooklyn, NY 11215-5207
Phone
(718) 636-7400
Fax
(718) 636-7432
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Fernando Pujol, MD
Title
President
Phone
(718) 636-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 163062 NY Primary

Addresses

Primary practice location

460 13TH St
Brooklyn, NY 11215-5207

Mailing address

460 13TH St
Brooklyn, NY 11215-5207
Phone (718) 636-7400

Other identifiers 1

IdentifierTypeStateIssuer
01044173MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060916000083 NY Part B Supplier - Clinic/Group Practice 0345245809 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1699870170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155207",
            "telephone_number": "718-636-7400",
            "fax_number": "718-636-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155207",
            "telephone_number": "718-636-7400",
            "fax_number": "718-636-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO PUJOL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "PUJOL",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-636-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "163062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01044173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.