Individual provider Active NPI

Shu Ping Rong, D.D.S

  • Dentist
  • New York, NY
National Provider Identifier
1285935999
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055002 Issued in NY
Practice address
101 Lafayette St FL 6
New York, NY 10013-4153
Phone
(212) 226-6368
Fax
(212) 226-6369
NPI assigned
Nov 11, 2010
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 055002 NY Primary

Addresses

Primary practice location

101 Lafayette St FL 6
New York, NY 10013-4153

Mailing address

101 Lafayette St FL 6
New York, NY 10013-4153
Phone (212) 226-6368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308000698 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416253083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shu Ping Rong, DDS P.C Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1285935999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAFAYETTE ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134153",
            "telephone_number": "212-226-6368",
            "fax_number": "212-226-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAFAYETTE ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134153",
            "telephone_number": "212-226-6368",
            "fax_number": "212-226-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONG",
        "first_name": "SHU PING",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.