John M Denefrio, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

133754 Issued in NY

Practice address

1 Avis CT
Blauvelt, NY 10913-1006

Phone

(845) 359-5008

Fax

(845) 359-8875

NPI assigned

Jan 5, 2009

Last updated

Jan 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1700022274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVIS CT",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131006",
            "telephone_number": "845-359-5008",
            "fax_number": "845-359-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVIS CT",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131006",
            "telephone_number": "845-359-5008",
            "fax_number": "845-359-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEFRIO",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "133754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.