Individual provider Active NPI

Ron Hornfeld, DMD

  • Dentist
  • New York, NY
National Provider Identifier
1275825473
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041701 Issued in NY
Practice address
125 W 79TH St
New York, NY 10024-6454
Phone
(212) 875-8195
Fax
(212) 580-6891
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 041701 NY Primary

Addresses

Primary practice location

125 W 79TH St
New York, NY 10024-6454

Mailing address

125 W 79TH St
New York, NY 10024-6454
Phone (212) 875-8195

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

State licenses

LicenseStateTypeSpecialty
041701NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Laser Ophthalmology LLC PastSince Sep 1, 2004 Accepting new patients
Upper West Side Medical P.L.L.C. PastSince Oct 10, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_premiumlaseroph

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1275825473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246454",
            "telephone_number": "212-875-8195",
            "fax_number": "212-580-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246454",
            "telephone_number": "212-875-8195",
            "fax_number": "212-580-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNFELD",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.