Active NPI
Richard a. Fazio MD, P.C.
- Gastroenterology Physician
- Brooklyn, NY
National Provider Identifier
1730228370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- RICHARD A. FAZIO MD, P.C.
- Practice address
- 1102 Bay Ridge Pkwy
Brooklyn, NY 11228-2338 - Phone
- (718) 748-2110
- Fax
- (718) 748-1666
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Fazio
- Title
- President
- Phone
- (718) 748-2110
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1102 Bay Ridge Pkwy
Brooklyn, NY 11228-2338
Mailing address
1102 Bay Ridge Pkwy
Brooklyn, NY 11228-2338
Phone (718) 748-2110
National Provider Directory
National Provider DirectoryLocations
1102 Bay Ridge Pkwy
Brooklyn, NY 11228
Phone (718) 448-1122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1730228370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BAY RIDGE PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282338",
"telephone_number": "718-748-2110",
"fax_number": "718-748-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 BAY RIDGE PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282338",
"telephone_number": "718-748-2110",
"fax_number": "718-748-1666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A. FAZIO MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "FAZIO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-748-2110",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.