Andrew Fundo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

50 054916 Issued in NY

Practice address

7011 108TH St
1D
Forest Hills, NY 11375-4448

Phone

(718) 544-2929

NPI assigned

May 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 22, 2016 through Mar 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joy of Smile Dentistry, PC

  • General Practice Dentistry
  • Forest Hills, NY
  • NPI 1922415009
  NPD (past) Authorized official

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

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1912225491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 108TH ST",
            "address_2": "1D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754448",
            "telephone_number": "718-544-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 108TH ST",
            "address_2": "1D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754448",
            "telephone_number": "718-544-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02435100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50 054916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xu Dong Fu, L. AC.
• Marie Angeli Fuentes, PA-C
• Vivian Fulton, PT
• Fund America Management
• Harjianne Dei Fundal
• Livia Futterman, PA-C
• Future Care Registered Professional Nursing PLLC
• Frida Fuzailov
• Istam Mazal Fuzailov
• Gavriel Fuzaylov, MD

• Dentist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.