Individual provider Active NPI

Gabriella Nocerino, DDS

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1306239496
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
344-420-135 Issued in NY
Practice address
1608 Kennellworth PL
Bronx, NY 10465-1012
Phone
(347) 996-6432
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 344-420-135 NY Primary

Addresses

Primary practice location

1608 Kennellworth PL
Bronx, NY 10465-1012

Mailing address

1608 Kennellworth PL
Bronx, NY 10465-1012
Phone (347) 996-6432

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
344-420-135NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1306239496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 KENNELLWORTH PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651012",
            "telephone_number": "347-996-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 KENNELLWORTH PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651012",
            "telephone_number": "347-996-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCERINO",
        "first_name": "GABRIELLA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "344-420-135",
            "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 Mar 12, 2015; 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.