Active NPI
Ricardo L Rengifo, M.D.
- Neurology Physician
- Whitestone, NY
National Provider Identifier
1265593719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 098322
- Practice address
- 333 Parsons Blvd
Whitestone, NY 11357-1062 - Phone
- (718) 746-1215
- Fax
- (718) 747-6395
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 098322 | NY | Primary |
Addresses
Primary practice location
333 Parsons Blvd
Whitestone, NY 11357-1062
Mailing address
333 Parsons Blvd
Whitestone, NY 11357-1062
Phone (718) 746-1215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00167322 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098322 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265593719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 PARSONS BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571062",
"telephone_number": "718-746-1215",
"fax_number": "718-747-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PARSONS BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571062",
"telephone_number": "718-746-1215",
"fax_number": "718-747-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENGIFO",
"first_name": "RICARDO",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "098322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00167322",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, 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.