Organization Active NPI

Ronald Fener, D.D.S.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1497943971
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040638 Issued in NY
Legal business name
RONALD FENER, D.D.S.
Practice address
1049 E 163Rd St
Bronx, NY 10459-4510
Phone
(718) 842-5020
Fax
(718) 842-9036
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Michael Marszalek
Title
Systems Administrator / Manager
Phone
(718) 993-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 040638 NY Primary

Addresses

Primary practice location

1049 E 163Rd St
Bronx, NY 10459-4510

Mailing address

1049 E 163Rd St
Bronx, NY 10459-4510
Phone (718) 842-5020

Other identifiers 1

IdentifierTypeStateIssuer
02361622MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1497943971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E 163RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594510",
            "telephone_number": "718-842-5020",
            "fax_number": "718-842-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E 163RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594510",
            "telephone_number": "718-842-5020",
            "fax_number": "718-842-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD FENER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MARSZALEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATOR / MANAGER",
        "authorized_official_telephone_number": "718-993-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02361622",
            "state": "NY"
        }
    ],
    "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 Oct 9, 2007; 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.