Active NPI
Confidentiality Medical Services P.C.
- Addiction Medicine (Internal Medicine) Physician
- Bayside, NY
National Provider Identifier
1174294490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.