Mario Spagnuolo MDPC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

085537 Issued in NY

Legal business name

MARIO SPAGNUOLO MDPC

Practice address

944 N Broadway
Yonkers, NY 10701-1304

Phone

(914) 968-5574

Fax

(914) 968-5612

NPI assigned

Oct 3, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Spagnuolo

Title

Office Manager

Phone

(014) 968-5574

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1891983839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011304",
            "telephone_number": "914-968-5574",
            "fax_number": "914-968-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011304",
            "telephone_number": "914-968-5574",
            "fax_number": "914-968-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO SPAGNUOLO MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "SPAGNUOLO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "014-968-5574",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "085537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00131186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Marie Marino, RD, CDE
• Joseph Marino, MD
• Marsha Lynn Marino, LCSW
• Richard Anthony Marino, M.D.
• Mario Q.Ricci M.D., P.C.
• Marisol Castro-Pecoraro, Licensed Mental Health Counselor, PLLC (ARC Mental Health Counseling)
• Basem Marji
• Luay S Marji, MD
• Michael Suleiman Marji, MD
• Mark Kaszczak Physician PC

• Internal Medicine Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.