Willy JP Jordonne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040640 Issued in NY

Practice address

72 Borglum Rd
Manhasset, NY 11030-2123

Phone

(516) 365-5561

NPI assigned

Nov 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740356286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255911",
            "telephone_number": "718-953-1043",
            "fax_number": "718-953-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BORGLUM RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302123",
            "telephone_number": "516-365-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDONNE",
        "first_name": "WILLY",
        "middle_name": "JP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01005774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincy Jojan, ANP
• Cassandra L Jonaitis
• David Thomas Jones, D.D.S.
• Monique Defour Jones, M.D.
• Rene Jones, CRNA
• Timothy Jorgenson, MD
• Ginu Jose
• Sophia Jose, FNP
• Stephanie Sheryn Jose, DO
• Avinash K Josen, MD

• General Practice Dentistry in Manhasset, NY
• Providers in Manhasset, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.