1215065578 NPI number — ANTHONY R NAPOLITANO MD PC

Table of content: (NPI 1215065578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215065578 NPI number — ANTHONY R NAPOLITANO MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANTHONY R NAPOLITANO MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215065578
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8212 151ST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOWARD BEACH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11414-1761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-738-8787
Provider Business Mailing Address Fax Number:
718-738-8198

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10170 LEFFERTS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH RICHMOND HILL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11419-2081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-739-8550
Provider Business Practice Location Address Fax Number:
718-441-6410
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NAPOLITANO
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
718-738-8787

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 653381 . This is a "BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 653382 . This is a "BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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