Active NPI
Brian Robert Fondonella
- Taxi
- New Rochelle, NY
National Provider Identifier
1093220410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 469
- Practice address
- 53 1St St
New Rochelle, NY 10801-6118 - Phone
- (631) 687-0330
- NPI assigned
- Dec 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 469 | NY | Primary |
Addresses
Primary practice location
53 1St St
New Rochelle, NY 10801-6118
Mailing address
53 1St St
New Rochelle, NY 10801-6118
Phone (631) 687-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469 | NY | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1093220410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 1ST ST",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108016118",
"telephone_number": "631-687-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 1ST ST",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108016118",
"telephone_number": "631-687-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONDONELLA",
"first_name": "BRIAN",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.