Active NPI
Downstate Medical PC
- Diagnostic Ultrasound Physician
- Brooklyn, NY
National Provider Identifier
1811627904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- DOWNSTATE MEDICAL PC
- Practice address
- 8675 Bay Pkwy Apt 1
Brooklyn, NY 11214-4186 - Phone
- (516) 512-7707
- NPI assigned
- Jun 13, 2022
- Last updated
- Jun 5, 2024
- 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
- Joseph Izzo, MD
- Title
- Cmo
- Phone
- (718) 344-2855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | NU | Primary |
Addresses
Primary practice location
8675 Bay Pkwy Apt 1
Brooklyn, NY 11214-4186
Mailing address
1351 Shinnecock LN
Fort Mill, SC 29707-7764
Phone (718) 344-2855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1528052123
-
- Neurology Physician
- New York, NY
- NPI 1831517002
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1295802098
-
- Cardiovascular Disease Physician
- Yonkers, NY
- NPI 1134384951
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1841685435
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1285845370
-
- Neurology Physician
- Rockville Centre, NY
- NPI 1831115179
-
- Diagnostic Radiology Physician
- Fort Lauderdale, FL
- NPI 1710972617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1811627904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 SHINNECOCK LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297077764",
"telephone_number": "718-344-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8675 BAY PKWY APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144186",
"telephone_number": "516-512-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNSTATE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-13",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "IZZO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "718-344-2855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Downstate Foot and Ankle Podiatry PC
- Downstate Foot and Ankle Podiatry, PC
- Downstate Medical Care, P.C.
- Downstate Medical Center
- Downstate Medical Center
- Downstate Medical Services, P.C
- Downstate Medical Services, PC
- Downstate Medical Supply
- Downstate Mental Hygiene Associates
- Downstate Ophthalmology Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.