Organization
LUZATO MEDICAL GROUP P.C.
Active
Other names
College Point Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BRUDER M.D. (PRESIDENT)
(718) 461-9105
Entity
Organization
Contact information
Practice address
1812 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2221
(718) 461-9105
(716) 461-3392
Mailing address
1812 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2221
(718) 461-9105
(716) 461-3392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501024
GHI
NY
Enumeration date
01/23/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us