Joseph Matthew Renda

Primary specialty

DentistTaxonomy code 122300000X

License

059963 Issued in NY

Practice address

60 Charles Ave
Massapequa Park, NY 11762-2822

Phone

(516) 672-5752

NPI assigned

Mar 14, 2017

Last updated

Oct 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: joseph.renda.p8@direct.shproviders.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sachem Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Nesconset, NY
  • NPI 1669795332
  NPD (past)
• Sound Sleep Solutions LLC

  • Dentist
  • Nesconset, NY
  • NPI 1750028924
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1619418316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHARLES AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622822",
            "telephone_number": "516-672-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHARLES AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622822",
            "telephone_number": "516-672-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Smithtown Blvd",
            "address_purpose": "LOCATION",
            "city": "Nesconset",
            "state": "NY",
            "postal_code": "117671748",
            "country_code": "US",
            "telephone_number": "631-382-8585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "South Dr",
            "address_2": "Stony Brook Dental School",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-244-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDA",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059963",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Raffaniello, RN
• Christina Raniolo
• Steven Elliott Reid, PH.D.
• Carol A Reiff, LPN
• Reliance Home Senior Services
• Victoria Elizabeth Restrepo, OTR/L
• Dominique Michelle Reyes
• Alexandra Riebl, OTR/L
• Gloria Maria Rivera, BS
• Danielle Roamer

• Dentist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.