Individual provider Active NPI

Mercedes Rabeiro-Wert, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1427117928
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048571 Issued in NY
Practice address
718 W 178TH St
Suite #5
New York, NY 10033-6435
Phone
(212) 923-1566
Fax
(212) 923-5932
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 048571 NY Primary

Addresses

Primary practice location

718 W 178TH St
Suite #5
New York, NY 10033-6435

Mailing address

718 W 178TH St
Suite #5
New York, NY 10033-6435
Phone (212) 923-1566

Other identifiers 1

IdentifierTypeStateIssuer
048571OtherNYNY STATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250702004594 NJ Order and Referring Only - DentistPractitioner - Dentist 3274046073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048571NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1427117928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W 178TH ST",
            "address_2": "SUITE #5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336435",
            "telephone_number": "212-923-1566",
            "fax_number": "212-923-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W 178TH ST",
            "address_2": "SUITE #5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336435",
            "telephone_number": "212-923-1566",
            "fax_number": "212-923-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABEIRO-WERT",
        "first_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENCE",
            "identifier": "048571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.