Individual provider Active NPI

John M Rinaudo, D.D.S.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1881795094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043733-1 Issued in NY
Practice address
3975 Sedgwick Ave
Suite 1-H
Bronx, NY 10463-3105
Phone
(718) 796-4600
Fax
(718) 667-0031
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 043733-1 NY Primary

Addresses

Primary practice location

3975 Sedgwick Ave
Suite 1-H
Bronx, NY 10463-3105

Mailing address

22 Holly St
Staten Island, NY 10304-3114
Phone (718) 667-5498

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
I20160216001574 NY Order and Referring Only - DentistPractitioner - Dentist 1759686561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043733-1NYMDGeneral Practice Dentistry
043733NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881795094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOLLY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043114",
            "telephone_number": "718-667-5498",
            "fax_number": "718-667-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 SEDGWICK AVE",
            "address_2": "SUITE 1-H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633105",
            "telephone_number": "718-796-4600",
            "fax_number": "718-667-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINAUDO",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043733-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.