Individual provider Active NPI

Ron N Kaminer, DDS

  • Dentist
  • Hewlett, NY
National Provider Identifier
1366547044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043464 Issued in NY
Practice address
1315A Broadway
Hewlett, NY 11557-2115
Phone
(516) 239-6204
Fax
(516) 295-2727
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 043464 NY Primary

Addresses

Primary practice location

1315A Broadway
Hewlett, NY 11557-2115

Mailing address

1315A Broadway
Hewlett, NY 11557-2115
Phone (516) 239-6204

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
I20160420001595 NY Order and Referring Only - DentistPractitioner - Dentist 7911163282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043464NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Kaminer DDS PastSince Aug 4, 2024 Accepting new patients
Kaminer Dentistry PLLC PastSince Oct 13, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366547044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315A BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572115",
            "telephone_number": "516-239-6204",
            "fax_number": "516-295-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315A BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572115",
            "telephone_number": "516-239-6204",
            "fax_number": "516-295-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINER",
        "first_name": "RON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.