Individual provider Active NPI

Andrew VA Picone, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1710195771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39806 Issued in NY
Practice address
24 5TH Ave
New York, NY 10011-8858
Phone
(212) 529-5432
Fax
(212) 529-7258
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

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 39806 NY Primary

Addresses

Primary practice location

24 5TH Ave
New York, NY 10011-8858

Mailing address

24 5TH Ave
New York, NY 10011-8858
Phone (212) 529-5432

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208000401 NY Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 5991088411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39806NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710195771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118858",
            "telephone_number": "212-529-5432",
            "fax_number": "212-529-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118858",
            "telephone_number": "212-529-5432",
            "fax_number": "212-529-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICONE",
        "first_name": "ANDREW",
        "middle_name": "VA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "39806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.