LUZATO MEDICAL GROUP P.C. NPI 1164576385

NPI Information

  • NPI: 1164576385
  • Provider Name: LUZATO MEDICAL GROUP P.C.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • :
  • Address: 1812 COLLEGE POINT BLVD
    COLLEGE POINT, NY
    ZIP 11356
  • Phone: (718) 461-9105

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NPI Details

LUZATO MEDICAL GROUP P.C. is a gastroenterology internal medicine in College Point, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. LUZATO MEDICAL GROUP P.C. NPI is 1164576385. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1812 COLLEGE POINT BLVD
COLLEGE POINT, NY
ZIP 11356-221
Phone: (718) 461-9105
Fax: (716) 461-3392

The provider's authorized official is Jack Bruder .
The authorized official title is President and has the following contact phone number (718) 461-9105.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3208800000XUrologyNo
4207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15501024OTHERNEW YORKGHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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