Individual provider Active NPI

John A Ostuni, MD

  • Internal Medicine Physician
  • Freeport, NY
National Provider Identifier
1811985153
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
112891 Issued in NY
Practice address
155 W Merrick Rd
Ste 101
Freeport, NY 11520-3743
Phone
(516) 379-3139
Fax
(516) 379-5790
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 112891 NY Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 112891 NY

Addresses

Primary practice location

155 W Merrick Rd
Ste 101
Freeport, NY 11520-3743

Mailing address

155 W Merrick Rd
Ste 101
Freeport, NY 11520-3743
Phone (516) 379-3139

Other identifiers 1

IdentifierTypeStateIssuer
00401794MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112891NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Nassau Internal Medicine Associates, LLP Internal Medicine CurrentSince Mar 30, 2005 Accepting new patients

Locations

155 W Merrick Rd
Ste 101
Freeport, NY 11520
Phone (516) 379-3139

155 W Merrick Rd
Freeport, NY 11520
Phone (516) 379-3062

Organizations & group practices 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1811985153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD",
            "address_2": "STE 101",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-379-3139",
            "fax_number": "516-379-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MERRICK RD",
            "address_2": "STE 101",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203743",
            "telephone_number": "516-379-3139",
            "fax_number": "516-379-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTUNI",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "112891",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "112891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.