Barry L Loffredo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

029547 Issued in NY

Practice address

1225 Union St
Schenectady, NY 12308-2922

Phone

(518) 346-4111

Fax

(518) 346-4113

NPI assigned

Apr 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1477796738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082922",
            "telephone_number": "518-346-4111",
            "fax_number": "518-346-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082922",
            "telephone_number": "518-346-4111",
            "fax_number": "518-346-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFFREDO",
        "first_name": "BARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "029547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Sun Liu
• Living Resources Corporation
• Michelle Livingston, MHC-LP
• David Edward Lizor, PHARMACIST
• Claudine M Lochard, PHD
• Emily London
• Christina Long, P.A.
• Michael D Long, PHD
• Stephanie Anne Long, OT
• Franklin B Longo, MD

• Dentist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.