Individual provider Active NPI

Robert J Florio, D.D.S.

  • General Practice Dentistry
  • Lynbrook, NY
National Provider Identifier
1821164195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033021 Issued in NY
Practice address
20 Hempstead Ave
Lynbrook, NY 11563-1617
Phone
(516) 599-6397
Fax
(516) 599-1980
NPI assigned
Nov 28, 2006
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 033021 NY Primary

Addresses

Primary practice location

20 Hempstead Ave
Lynbrook, NY 11563-1617

Mailing address

20 Hempstead Ave
Lynbrook, NY 11563-1617
Phone (516) 599-6397

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810001489 NY Order and Referring Only - DentistPractitioner - Dentist 9436407228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033021NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John P Russo, DC PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821164195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631617",
            "telephone_number": "516-599-6397",
            "fax_number": "516-599-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631617",
            "telephone_number": "516-599-6397",
            "fax_number": "516-599-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.