NPIMap

Organization Active NPI

Paul J Guerrino, DDS, PC

  • Dentist
  • Mount Vernon, NY
National Provider Identifier
1013387125
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040460 Issued in NY
Legal business name
PAUL J GUERRINO, DDS, PC
Practice address
400 E Sandford Blvd
Mount Vernon, NY 10550-4725
Phone
(914) 699-6568
Fax
(914) 699-8140
NPI assigned
Oct 1, 2015
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul J GuerrinoNPI 1982725909
Title
Owner
Phone
(914) 420-7083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 040460 NY Primary

Addresses

Primary practice location

400 E Sandford Blvd
Mount Vernon, NY 10550-4725

Mailing address

400 E Sandford Blvd
Mount Vernon, NY 10550-4725
Phone (914) 699-6568

National Provider Directory

National Provider Directory

Locations

400 E Sandford Blvd
Mount Vernon, NY 10550
Phone (914) 699-0109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1013387125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SANDFORD BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504725",
            "telephone_number": "914-699-6568",
            "fax_number": "914-699-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SANDFORD BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504725",
            "telephone_number": "914-699-6568",
            "fax_number": "914-699-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J GUERRINO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "GUERRINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-420-7083"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "040460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.