Individual provider Active NPI

Iudit Goldner-Rado, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1912052200
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041372 Issued in NY
Practice address
9211 35TH Ave
1K
Jackson Heights, NY 11372-5866
Phone
(718) 426-2231
Fax
(718) 426-2232
NPI assigned
Jan 24, 2007
Sex
Female
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 041372 NY Primary

Addresses

Primary practice location

9211 35TH Ave
1K
Jackson Heights, NY 11372-5866

Mailing address

10230 67TH Ave
Apt. #6N
Forest Hills, NY 11375-2455
Phone (718) 897-6004

Other identifiers 1

IdentifierTypeStateIssuer
02256357MedicaidNY

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
041372NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912052200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 67TH AVE",
            "address_2": "APT. #6N",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752455",
            "telephone_number": "718-897-6004",
            "fax_number": "718-426-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 35TH AVE",
            "address_2": "1K",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725866",
            "telephone_number": "718-426-2231",
            "fax_number": "718-426-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDNER-RADO",
        "first_name": "IUDIT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02256357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.