Individual provider Active NPI

Urszula Redzio, DDS

  • General Practice Dentistry
  • Ridgewood, NY
National Provider Identifier
1831361088
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053239 Issued in NY
Practice address
6913 Forest Ave
Ridgewood, NY 11385-4457
Phone
(718) 417-8453
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053239 NY Primary
General Practice Dentistry 1223G0001X 22DI02333400 NJ

Addresses

Primary practice location

6913 Forest Ave
Ridgewood, NY 11385-4457

Mailing address

235 Wessington Ave
Garfield, NJ 07026-2727
Phone (973) 772-0024

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02333400NJMDGeneral Practice Dentistry
053239NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Dental Care Past Accepting new patients
Forest Dental Smile PC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1831361088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WESSINGTON AVE",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262727",
            "telephone_number": "973-772-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854457",
            "telephone_number": "718-417-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDZIO",
        "first_name": "URSZULA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053239",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02333400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.