Active NPI
Richard J Cedeno, PA
- Medical Physician Assistant
- Bronx, NY
National Provider Identifier
1194984237
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 19, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 011166
- Practice address
- 2901 3Rd Ave
Bronx, NY 10455-2638 - Phone
- (718) 993-5093
- Fax
- (718) 993-5099
- NPI assigned
- Jun 4, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 011166 | NY | Primary |
Addresses
Primary practice location
2901 3Rd Ave
Bronx, NY 10455-2638
Mailing address
5610 94TH St Apt 5B
Elmhurst, NY 11373-5023
Phone (917) 371-8772
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1194984237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 94TH ST APT 5B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735023",
"telephone_number": "917-371-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104552638",
"telephone_number": "718-993-5093",
"fax_number": "718-993-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDENO",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "011166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.