MMC DIVISION OF GENERAL THORACIC SURGERY F P P
NPI 1508969494
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Brooklyn, NY

Q: What is Mmc Division Of General Thoracic Surgery F P P's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since September 06, 2006

4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8773 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mmc Division Of General Thoracic Surgery F P P NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMC DIVISION OF GENERAL THORACIC SURGERY F P P (NPI 1508969494) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Brooklyn, New York and active in the NPI registry since September 2006. The organization lists Joseph Lo Cicero, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1508969494

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameMMC DIVISION OF GENERAL THORACIC SURGERY F P P

Location Address4802 10TH AVEBrooklyn, NY 11219-2916

Mailing AddressGpo 30060New York, NY 10087-0060

Phone(718) 283-8773

Organization SubpartNo

Authorized OfficialJoseph Lo CiceroAuthorized Official · (718) 283-8773

Enumeration DateSeptember 6, 2006

Last NPPES UpdateFebruary 13, 2013

✔ NPI 1508969494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

4802 10TH AVE, Brooklyn, NY 11219

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmc Division Of General Thoracic Surgery F P P is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mmc Division Of General Thoracic Surgery F P P, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Antony Delliturri, D.O.

Thoracic Surgery

NPI 1780116640

4802 10TH AVENUE MAIMONIDES MEDICAL CENTER
Brooklyn, NY 11219

(718) 283-6000

✔ PECOS✔ Accepts MedicareSame address

Jason Shaw, MD

Thoracic Surgery

NPI 1952503195

948 48TH ST SECOND FLOOR
Brooklyn, NY 11219

(718) 283-7652

✔ PECOS✔ Accepts MedicareSame address

Christopher Sorensen, FNP

Nurse Practitioner

NPI 1154191468

4813 9TH AVE
Brooklyn, NY 11220

(718) 283-7686

✔ PECOS✔ Accepts Medicare0.1 mi

Loren Harris, MD

Thoracic Surgery

NPI 1538144175

317 E 17TH ST BIMC DEPT OF CARDIAC SURGERY
New York, NY 10003

(212) 420-2584

✔ PECOS✔ Accepts Medicare6.6 mi

Igor Brichkov, MD

Thoracic Surgery

NPI 1710162193

264 GREENCROFT AVE
Staten Island, NY 10308

(646) 342-0379

✔ PECOS✔ Accepts Medicare9.8 mi

Steven Herman, MD

Thoracic Surgery

NPI 1255390787

1 BAY AVE SUITE 1
Montclair, NJ 07042

(551) 996-5960

✔ PECOS✔ Accepts Medicare16 mi

Alexandra Renzi, M.D.

Thoracic Surgery

NPI 1770960817

718 TEANECK RD
Teaneck, NJ 07666

(201) 227-6008

✔ PECOS✔ Accepts Medicare17 mi

Andrea Carollo, M.D.

General Surgery

NPI 1750794194

270 PARK AVE
Huntington, NY 11743

(631) 968-3525

✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmc Division Of General Thoracic Surgery F P P's NPI number?

The NPI number for Mmc Division Of General Thoracic Surgery F P P is 1508969494. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Mmc Division Of General Thoracic Surgery F P P located?

Mmc Division Of General Thoracic Surgery F P P is located at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8773.

What is Mmc Division Of General Thoracic Surgery F P P's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mmc Division Of General Thoracic Surgery F P P enrolled in Medicare?

Yes. Mmc Division Of General Thoracic Surgery F P P is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mmc Division Of General Thoracic Surgery F P P?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mmc Division Of General Thoracic Surgery F P P. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Thoracic Surgery (6), General Surgery (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mmc Division Of General Thoracic Surgery F P P was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.