Individual provider Active NPI

Jonathan Ringer, DNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1144750860
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382820 Issued in NY
Practice address
167 E Merrick Rd
Valley Stream, NY 11580-5925
Phone
(516) 825-3030
Fax
(516) 825-4282
NPI assigned
Jun 14, 2017
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382820 NY Primary
Registered Nurse 163W00000X 7223801 NY

Addresses

Primary practice location

167 E Merrick Rd
Valley Stream, NY 11580-5925

Mailing address

8907 210TH PL
Queens Village, NY 11427-2228

Other practice location 1

8907 210th Pl
Queens Village, NY 11427-2228
Phone (917) 579-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406001112 NY Practitioner - Nurse Practitioner 7214323930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7223801NYMDRegistered Nurse
382820NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud, Inc CurrentSince Jan 3, 2022 Accepting new patients
La Casa de Salud, Inc CurrentSince Jan 3, 2022 Accepting new patients
La Casa de Salud Inc. Current Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
Allied Physicians Group, PLLC PastSince Apr 3, 2018 Accepting new patients
PM Pediatrics PC Past Accepting new patients

Locations

754 E 151st St
Bronx, NY 10455
Phone (347) 352-2500

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1144750860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 210TH PL",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805925",
            "telephone_number": "516-825-3030",
            "fax_number": "516-825-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8907 210th Pl",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114272228",
            "country_code": "US",
            "telephone_number": "917-579-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINGER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382820",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "7223801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.