Active NPI
Ricardo Orlando Dunner, M.D.,M.P.H.
- Internal Medicine Physician
- Bayside, NY
National Provider Identifier
1831113612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 204900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019364388 | Medicaid | NY | |
| 204900 | Other | NY | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204900 | NY | MD | Addiction 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.