Individual provider Active NPI

Briana Fieramosca, D.O.

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1841584331
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
264123 Issued in NY
Practice address
9 Sanford PL
Staten Island, NY 10314-2515
Phone
(917) 767-7778
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 264123 NY
Pediatrics Physician 208000000X 25MB10653900 NJ
Pediatrics Physician 208000000X 264123 NY Primary

Addresses

Primary practice location

9 Sanford PL
Staten Island, NY 10314-2515

Mailing address

9 Sanford PL
Staten Island, NY 10314-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150122001267 NY Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8224352224 Reassigns benefits to 1 organization
I20200326003894 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8224352224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264123NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children' Specialized Hospital CurrentSince Oct 1, 2020 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 1, 2013 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 1, 2013 Accepting new patients
Children'S Specialized Hospital Pediatrics CurrentSince Oct 1, 2020 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients

Locations

150 New Providence Rd
Mountainside, NJ 07092

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

Organizations & group practices 7

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1841584331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SANFORD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SANFORD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142515",
            "telephone_number": "917-767-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERAMOSCA",
        "first_name": "BRIANA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "264123",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10653900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "264123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.