Individual provider Active NPI

Richard Di Fiore, MD

  • Vascular Surgery Physician
  • Astoria, NY
National Provider Identifier
1902000995
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
257864 Issued in NY
Practice address
3033 Steinway St
Astoria, NY 11103
Phone
(718) 874-9778
Fax
(224) 235-4652
NPI assigned
Jun 13, 2007
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 257864-1 NY
Vascular Surgery Physician 2086S0129X 35.092142 OH
Vascular Surgery Physician 2086S0129X 25MA09006600 NJ
Vascular Surgery Physician 2086S0129X 048880 CT
Vascular Surgery Physician 2086S0129X 257864 NY Primary

Addresses

Primary practice location

3033 Steinway St
Astoria, NY 11103

Mailing address

PO Box 32
Northbrook, IL 60065-0032
Phone (847) 593-8460

Other practice location 1

120 White Horse Pike
Haddon Heights, NJ 08035-1938
Phone (856) 546-3900

Other practice location 2

120 White Horse Pike
Haddon Heights, NJ 08035-1938
Phone (856) 546-3900

Other identifiers 5

IdentifierTypeStateIssuer
0284611MedicaidNJ
3875795000OtherNJAMERIHEALTH
0548970OtherNJCIGNA
8395783OtherNJAETNA
03251310MedicaidNY

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
I20100920000323 NY Practitioner - Family PracticePractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 5395836068 Reassigns benefits to 23 organizations
I20120201000613 NJ Practitioner - Vascular Surgery 5395836068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fordham Medical of New York LLCGroup PAC ID 4284972621, 24 clinicians
Queens Medical of New York LLCGroup PAC ID 3870748692, 4 clinicians
Bushwick Medical of New York LLCGroup PAC ID 5092068262, 21 clinicians
Pelham Pkwy Medical of New York LLCGroup PAC ID 4082976386, 23 clinicians
USA Vein Clinics of New Jersey LLCGroup PAC ID 1355585191, 9 clinicians

Practice addresses (Care Compare)

1153 1St Ave
Suite C
New York, NY 10065-7768
Phone (646) 386-2250

11602 Queens Blvd
Suite B
Forest Hills, NY 11375-7055
Phone (347) 535-5608

155 Dyckman St
Suite C
New York, NY 10040-1003
Phone (646) 798-3978

4025 Hempstead Tpke
Suite B
Bethpage, NY 11714-5606
Phone (929) 207-9470

441 Knickerbocker Ave
Suite B
Brooklyn, NY 11237-4508
Phone (347) 773-2684

766 Shrewsbury Ave
Suite 300
Tinton Falls, NJ 07724-3001
Phone (732) 228-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257864-1NYMDFamily Medicine Physician
048880CTMDVascular Surgery Physician
25MA09006600NJMDVascular Surgery Physician
35.092142OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bushwick Professional Medical Services of New York LLC Vascular Surgery CurrentSince Dec 23, 2018 Accepting new patients
Starrett City Medical of New York LLC Vascular Surgery CurrentSince Feb 17, 2018 Accepting new patients
Pelham Pkwy Professional Medical Services of New York LLC Vascular Surgery CurrentSince May 9, 2018 Accepting new patients
Quality Medical Management Corp CurrentSince Dec 7, 2021 Accepting new patients
Queens Professional Medical Services of New York LLC Vascular Surgery CurrentSince Jun 13, 2018 Accepting new patients
Pelham Pkwy Medical of New York LLC Vascular Surgery CurrentSince Mar 13, 2018 Accepting new patients
Foxhurst Professional Medical Services of New York LLC Vascular Surgery CurrentSince Jun 4, 2018 Accepting new patients
Jamaica Queens Medical of New York LLC Vascular Surgery CurrentSince Mar 3, 2018 Accepting new patients
Corona Medical of New York LLC Vascular Surgery CurrentSince Feb 24, 2018 Accepting new patients
USA Vascular Center of New Jersey LLC Vascular Surgery CurrentSince Sep 21, 2020 Accepting new patients
New York City Healthcare Medical Services LLC Vascular Surgery CurrentSince Jul 7, 2026 Accepting new patients
Norwood Professional Medical Services of New York LLC Vascular Surgery CurrentSince Nov 1, 2018 Accepting new patients
New York Professional Medical Services LLC Vascular Surgery CurrentSince Dec 30, 2017 Accepting new patients
Foxhurst Medical of New York LLC Vascular Surgery CurrentSince Jun 4, 2018 Accepting new patients
Astoria Medical of New York, LLC Vascular Surgery CurrentSince Feb 24, 2018 Accepting new patients
Mott Haven Professional Medical of New York LLC Vascular Surgery CurrentSince Mar 28, 2018 Accepting new patients
Virtua Our Lady of Lourdes Hospital, Inc. Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Dec 24, 2017 Accepting new patients
Sjvi LLC PastSince Apr 20, 2009 Accepting new patients
Weil Podiatry of New York LLC PastSince Apr 1, 2016 Accepting new patients
Lourdes Medical Associates PA Family Medicine Past Accepting new patients
SJV Management, LLC PastSince Jul 24, 2022 Accepting new patients

Locations (25 of 58)

304 Wainwright Dr
Northbrook, IL 60062
Phone (224) 318-0118

272 Main St
#A
Orange, NJ 07050
Phone (862) 212-1084

50 E State St
Ste 100A
Trenton, NJ 08608
Phone (609) 900-3134

4201 Bergenline Ave
Ste 1A
Union City, NJ 07087

3033 Steinway St
Astoria, NY 11103
Phone (718) 709-5329

3033 Steinway St
Ste C
Astoria, NY 11103
Phone (347) 773-2684

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

1949 Westchester Ave
Ste A
Bronx, NY 10462
Phone (929) 254-3405

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

3485 Jerome Ave
#A
Bronx, NY 10467
Phone (347) 547-3099

384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

5199 Broadway
Ste A
Bronx, NY 10463
Phone (347) 812-0779

5199 Broadway
Ste C
Bronx, NY 10463
Phone (718) 732-1071

947 Southern Blvd
Ste A
Bronx, NY 10459
Phone (718) 513-5855

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

2444 86th St
Brooklyn, NY 11214
Phone (718) 709-5329

2444 86th St
#102A
Brooklyn, NY 11214
Phone (347) 230-8174

2444 86th St
Ste 102A
Brooklyn, NY 11214

2444 86th St
Ste C
Brooklyn, NY 11214
Phone (718) 732-1071

2511 Ocean Ave
Ste 102
Brooklyn, NY 11229
Phone (718) 504-6044

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1902000995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650032",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11103",
            "telephone_number": "718-874-9778",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351938",
            "country_code": "US",
            "telephone_number": "856-546-3900",
            "fax_number": "856-546-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351938",
            "country_code": "US",
            "telephone_number": "856-546-3900",
            "fax_number": "856-546-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI FIORE",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257864-1",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.092142",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA09006600",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "048880",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "257864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284611",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3875795000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0548970",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8395783",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03251310",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.