Organization Active NPI

Downstate Medical PC

  • Diagnostic Ultrasound Physician
  • Brooklyn, NY
National Provider Identifier
1811627904
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20251002001301 NY Part B Supplier - Clinic/Group Practice 0840666186 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.