Active NPI
Reinaldo Villabona, MD
- Specialist
- New York, NY
National Provider Identifier
1124174735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 177642
- Practice address
- 10 River Rd
Apt. 6F
New York, NY 10044-1151 - Phone
- (212) 896-9270
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 177642 | NY | Primary |
Addresses
Primary practice location
10 River Rd
Apt. 6F
New York, NY 10044-1151
Mailing address
133 East 122ND. St
Apt. 1
New York, NY 10035
Phone (212) 876-9270
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177642 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124174735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 EAST 122ND. ST",
"address_2": "APT. 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10035",
"telephone_number": "212-876-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 RIVER RD",
"address_2": "APT. 6F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100441151",
"telephone_number": "212-896-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLABONA",
"first_name": "REINALDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "177642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.