1174641625 NPI number — DR. LOUIS JOSEPH TRANESE D.O.

Table of content: DR. LOUIS JOSEPH TRANESE D.O. (NPI 1174641625)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174641625 NPI number — DR. LOUIS JOSEPH TRANESE D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRANESE
Provider First Name:
LOUIS
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

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:
1174641625
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
71 CARROLL STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11231-2767
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-797-9797
Provider Business Mailing Address Fax Number:
718-797-9796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71 CARROLL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11231-2767
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-797-9797
Provider Business Practice Location Address Fax Number:
718-797-9796
Provider Enumeration Date:
03/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  231468 , 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: 20-3936090 . This is a "ONE HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2666402 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 231468-N02 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3677835 . This is a "OXFORD FREEDOM PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "HORIZONNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5438003 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133936687 . This is a "UPN ELITE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0112078 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "OXFORD LIBERTY, MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: NY231468-60 . This is a "LOCAL1199" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0M1292 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1639J1 . This is a "EMPIRE BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "EMPIRE NYS PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-3936090 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".




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