Active NPI
John A Ostuni, MD
- Internal Medicine Physician
- Freeport, NY
National Provider Identifier
1811985153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 112891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00401794 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112891 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Nassau Internal Medicine Associates, LLP | Internal Medicine | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Freeport, NY
- NPI 1508045279
Internal Medicine
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.