Active NPI
Darren Dionisio, OPTICIAN
- Optician
- Bronx, NY
National Provider Identifier
1619498409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008446-1
- Practice address
- 2168 White Plains Rd
Bronx, NY 10462-1406 - Phone
- (718) 931-0500
- NPI assigned
- Jun 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 008446-1 | NY | Primary |
Addresses
Primary practice location
2168 White Plains Rd
Bronx, NY 10462-1406
Mailing address
2168 White Plains Rd
Bronx, NY 10462-1406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295988467 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008446-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Ideas, Inc. | Past | Accepting new patients | |
| Optical Ideas | Optician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Bronx, NY
- NPI 1003006867
-
- Optometrist
- Bronx, NY
- NPI 1215153937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1619498409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104621406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104621406",
"telephone_number": "718-931-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIONISIO",
"first_name": "DARREN",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008446-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295988467",
"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 Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.