Individual provider Active NPI

Ricardo Orlando Dunner, M.D.,M.P.H.

  • Internal Medicine Physician
  • Bayside, NY
National Provider Identifier
1831113612
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204900 Issued in NY
Practice address
20124 43Rd Ave FL 2
Bayside, NY 11361-2545
Phone
(718) 809-4921
Fax
(212) 202-4921
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 204900 NY
Internal Medicine Physician 207R00000X 204900 NY Primary

Addresses

Primary practice location

20124 43Rd Ave FL 2
Bayside, NY 11361-2545

Mailing address

1133 Midland Ave Apt 1E
Bronxville, NY 10708-6454
Phone (718) 809-4921

Other identifiers 2

IdentifierTypeStateIssuer
019364388MedicaidNY
204900OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204900NYMDAddiction Medicine (Internal Medicine) Physician

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1831113612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MIDLAND AVE APT 1E",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086454",
            "telephone_number": "718-809-4921",
            "fax_number": "212-202-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20124 43RD AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612545",
            "telephone_number": "718-809-4921",
            "fax_number": "212-202-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNER",
        "first_name": "RICARDO",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "204900",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019364388",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "204900",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.