Active NPI
Dustin Roderick Todaro, MD
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1356979488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MT220921
- Practice address
- 3535 Market St FL 2
Philadelphia, PA 19104-3317 - Phone
- (504) 388-7747
- NPI assigned
- Apr 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MT220921 | PA | Primary |
Addresses
Primary practice location
3535 Market St FL 2
Philadelphia, PA 19104-3317
Mailing address
3535 Market St
FL 2
Philadelphia, PA 19104-3317
Phone (504) 388-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 18, 2024 through Oct 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1356979488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 MARKET ST",
"address_2": "FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043317",
"telephone_number": "504-388-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 MARKET ST FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043317",
"telephone_number": "504-388-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODARO",
"first_name": "DUSTIN",
"middle_name": "RODERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT220921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.