Active NPI
Albert Neri Jr., D.D.S
- General Practice Dentistry
- Sodus, NY
National Provider Identifier
1275524233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 036750
- Practice address
- 6692 Middle Rd
Suite 2100
Sodus, NY 14551-9602 - Phone
- (315) 483-1199
- Fax
- (315) 483-2451
- NPI assigned
- Oct 31, 2005
- Last updated
- Dec 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 036750 | NY | |
| General Practice Dentistry | 1223G0001X | 036750 | NY | Primary |
Addresses
Primary practice location
6692 Middle Rd
Suite 2100
Sodus, NY 14551-9602
Mailing address
PO Box 423
Penn Yan, NY 14527-0423
Phone (315) 531-9102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02799044 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036750 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Community Health | Past | Accepting new patients | |
| Finger Lakes Community Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Dundee Community Health
- Federally Qualified Health Center (FQHC)
- Dundee, NY
- NPI 1366939878
-
- Federally Qualified Health Center (FQHC)
- Sodus, NY
- NPI 1669568465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1275524233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 423",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145270423",
"telephone_number": "315-531-9102",
"fax_number": "315-531-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6692 MIDDLE RD",
"address_2": "SUITE 2100",
"city": "SODUS",
"state": "NY",
"postal_code": "145519602",
"telephone_number": "315-483-1199",
"fax_number": "315-483-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERI",
"first_name": "ALBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "036750",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "036750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02799044",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sodus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.