Active NPI
Ronald Fener, D.D.S.
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1497943971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 040638
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02361622 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.