Individual provider Active NPI

Nicola Mariano Cinquepalmi, DMD

  • Dentist
  • Bronx, NY
National Provider Identifier
1609443019
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
062706 Issued in NY
Practice address
1775 Grand Concourse FL 6
Bronx, NY 10453-8202
Phone
(718) 901-8410
NPI assigned
Jun 6, 2021
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 062706 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1775 Grand Concourse FL 6
Bronx, NY 10453-8202

Mailing address

972 79TH St
Brooklyn, NY 11228-2614
Phone (646) 932-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Tufts University School of Dental Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8340 Woodhaven Blvd
Glendale, NY 11385-7824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062706NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1609443019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282614",
            "telephone_number": "646-932-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE FL 6",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "718-901-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINQUEPALMI",
        "first_name": "NICOLA",
        "middle_name": "MARIANO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062706",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.