Provider Demographics
NPI:1255325106
Name:ASSINI, JOHN FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:ASSINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 BELMONT AVE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2104
Mailing Address - Country:US
Mailing Address - Phone:518-386-3626
Mailing Address - Fax:518-386-3612
Practice Address - Street 1:1270 BELMONT AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2104
Practice Address - Country:US
Practice Address - Phone:518-386-3626
Practice Address - Fax:518-386-3612
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122341207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10000065 3014OtherCDPHP
NY00352649Medicaid
36100OtherMVP
NY040426006774OtherFIDELIS
JA014A7910OtherEMPIRE BC
000471021002OtherBS NENY
10000065 3014OtherCDPHP
32394BMedicare ID - Type Unspecified
NY00352649Medicaid