DR. ANDREW FUNDO D.M.D.
NPI 1912225491
Dentist in Forest Hills, NY

Active since May 09, 2010Opted out of Medicare · through Mar 22, 2028
7011 108TH ST, 1D, FOREST HILLS, NY 11375(718) 544-2929 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Fundo D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW FUNDO D.M.D. (NPI 1912225491) is an individual dentist in Forest Hills, New York, licensed in New York (50 054916) and active in the NPI registry since May 2010. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912225491
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANDREW FUNDOCredential: D.M.D.
Location Address7011 108TH ST, 1DForest Hills, NY 11375-4448
Mailing Address7011 108th St, 1dForest Hills, NY 11375-4448 · (718) 544-2929
Sole ProprietorYes
Enumeration DateMay 9, 2010
Last NPPES UpdateJuly 9, 2014
NPI 1912225491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in NY · 50 054916 Licensed in NJ · 22DI02435100
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
7011 108TH ST, Forest Hills, NY 11375

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Andrew Fundo D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
7011 108TH ST
FOREST HILLS, NY 11375
Dentist (General Practice)
7011 108TH ST, 1D
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Fundo's NPI number?

The NPI number for Andrew Fundo is 1912225491. It was assigned to this individual provider in the NPPES registry on May 9, 2010.

Where is Andrew Fundo located?

Andrew Fundo practices at 7011 108th St 1D, Forest Hills, NY 11375. The listed phone number is (718) 544-2929.

What is Andrew Fundo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrew Fundo enrolled in Medicare?

No. Andrew Fundo has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Andrew Fundo was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.