Individual provider Active NPI

Joseph Michael Buono, DDS

  • General Practice Dentistry
  • Glen Cove, NY
National Provider Identifier
1952578155
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041567 Issued in NY
Practice address
10 Medical PLZ
Suite 210
Glen Cove, NY 11542-2193
Phone
(516) 759-7505
Fax
(516) 759-7542
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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 041567 NY Primary

Addresses

Primary practice location

10 Medical PLZ
Suite 210
Glen Cove, NY 11542-2193

Mailing address

10 Medical PLZ
Suite 210
Glen Cove, NY 11542-2193
Phone (516) 759-7505

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
041567NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1952578155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 210",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-759-7505",
            "fax_number": "516-759-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 210",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-759-7505",
            "fax_number": "516-759-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.