Individual provider Active NPI

Christine Fumo, D.M.D.

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1689884611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0451571 Issued in NY
Practice address
626 McLean Ave
Yonkers, NY 10705-4738
Phone
(914) 476-0100
Fax
(914) 476-6322
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0451571 NY Primary

Addresses

Primary practice location

626 McLean Ave
Yonkers, NY 10705-4738

Mailing address

28 Winding Ridge Rd
White Plains, NY 10603-2850
Phone (914) 476-0100

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.
Opted out of Medicare
Yes, effective May 12, 2016 through May 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0451571NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689884611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WINDING RIDGE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032850",
            "telephone_number": "914-476-0100",
            "fax_number": "914-476-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054738",
            "telephone_number": "914-476-0100",
            "fax_number": "914-476-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMO",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0451571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.