John Fiordalisi MD PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

169238 Issued in NY

Legal business name

JOHN FIORDALISI MD PLLC

Practice address

166 E 88TH St
New York, NY 10128-2255

Phone

(646) 406-5404

NPI assigned

Mar 11, 2008

Last updated

Apr 1, 2008By 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

Dr. John Fiordalisi, MD

Title

Anesthesiology

Phone

(646) 406-5404

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1952571572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HAMPTON BAYS DR",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463007",
            "telephone_number": "646-406-5404",
            "fax_number": "718-320-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282255",
            "telephone_number": "646-406-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FIORDALISI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "FIORDALISI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "646-406-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "169238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "299T01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.