Organization Active NPI

Confidentiality Medical Services P.C.

  • Addiction Medicine (Internal Medicine) Physician
  • Bayside, NY
National Provider Identifier
1174294490
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
CONFIDENTIALITY MEDICAL SERVICES P.C.
Practice address
20124 43Rd Ave FL 2
Bayside, NY 11361-2545
Phone
(718) 809-4921
Fax
(212) 202-4921
NPI assigned
Sep 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Ricardo O. Dunner, MD
Title
President & Ceo
Phone
(718) 809-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

20124 43Rd Ave FL 2
Bayside, NY 11361-2545

Mailing address

1133 Midland Ave Apt 1E
Bronxville, NY 10708-6454
Phone (718) 809-4921

National Provider Directory

National Provider Directory

Locations

20124 43rd Ave
#2
Bayside, NY 11361
Phone (347) 302-1503

NPI Registry JSON

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1174294490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MIDLAND AVE APT 1E",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086454",
            "telephone_number": "718-809-4921",
            "fax_number": "212-202-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20124 43RD AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612545",
            "telephone_number": "718-809-4921",
            "fax_number": "212-202-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIALITY MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "DUNNER",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-809-4921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.