Individual provider Active NPI

Ronald Nuzzo, M.D.

  • Anesthesiology Physician
  • Huntington, NY
National Provider Identifier
1700963733
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
211905 Issued in NY
Practice address
195 E Main St
Huntington, NY 11743-2957
Phone
(631) 385-8677
Fax
(718) 815-8122
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 211905 NY Primary

Addresses

Primary practice location

195 E Main St
Huntington, NY 11743-2957

Mailing address

302 Manor Rd
Staten Island, NY 10314-2408
Phone (718) 815-1000

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
I20080422000297 NY Practitioner - Anesthesiology 0749368454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical Group PCGroup PAC ID 9739191339, 5 clinicians

Practice addresses (Care Compare)

1075 Franklin Ave
Garden City, NY 11530-2930
Phone (516) 248-1220

1958 Ocean Ave
Brooklyn, NY 11230-6719
Phone (718) 645-8901

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Avenue Medical PC Anesthesiology CurrentSince Mar 17, 2018 Accepting new patients
Advanced Medical Group PC CurrentSince Feb 1, 2021 Accepting new patients
Moshenyat LLC PastSince Feb 1, 2021 Accepting new patients

Locations

1075 Franklin Ave
Garden City, NY 11530
Phone (516) 248-7733

1075 Franklin Ave
#B
Garden City, NY 11530
Phone (516) 248-1234

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1700963733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142408",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432957",
            "telephone_number": "631-385-8677",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZO",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "211905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.