Ronald Birnbaum, D.D.S., M.P.H.

Primary specialty

DentistTaxonomy code 122300000X

License

048135 Issued in NY

Practice address

421 W 57TH St
New York, NY 10019-1763

Phone

(212) 203-3502

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1699779942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191763",
            "telephone_number": "212-203-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191763",
            "telephone_number": "212-203-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Birnbaum, M.D.
• Lisa Birnbaum
• Lisa Robyn Birnbaum, LMSW
• Rebecca Birnbaum, CASAC-T
• Rebecca Birnbaum
• Sarah Birnbaum
• Bruce Adam Birnberg, MSW, LMSW, LCSW
• Catherine Anne Birndorf, M.D.
• Dion Scott Birney III, LCSW
• Douglas Ross Birns, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.