NPIMap

Organization Active NPI

RLD Medical Services, PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1609986934
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RLD MEDICAL SERVICES, PC
Practice address
3751 Riverdale Ave
Bronx, NY 10463-1815
Phone
(718) 601-2700
Fax
(718) 601-9890
NPI assigned
Aug 30, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Roberta Lynne Donin, MDNPI 1003832627
Title
MD/Owner
Phone
(914) 639-2067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3751 Riverdale Ave
Bronx, NY 10463-1815

Mailing address

45 S Route 9W Ste 41 #114
West Haverstraw, NY 10993-1053
Phone (914) 639-2067

Other identifiers 1

IdentifierTypeStateIssuer
02176649MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000025 NY Part B Supplier - Clinic/Group Practice 0749179141 Receives reassigned benefits from 27 practitioners
Practice locations: Far Rockaway, NY; Yonkers, NY; Whitestone, NY; Valatie, NY; Rockaway Park, NY; New York, NY; New Rochelle, NY; Liberty, NY…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0993756RLD Medical Services PC3751 Riverdale Avenue, Bronx, NY 10463Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory

Locations

45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1609986934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S ROUTE 9W STE 41 #114",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931053",
            "telephone_number": "914-639-2067",
            "fax_number": "315-612-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631815",
            "telephone_number": "718-601-2700",
            "fax_number": "718-601-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLD MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DONIN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "914-639-2067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176649",
            "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 Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.