DR. MARIO IVAN RENDON M.D. NPI 1104098656

NPI Information

  • NPI: 1104098656
  • Provider Name: DR. MARIO IVAN RENDON, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 333 E 30TH ST
    AP 8L
    NEW YORK, NY
    ZIP 10016
  • Phone: (212) 532-6840

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NPI Details

DR. Mario Ivan Rendon, M.D. is a child and adolescent psychiatry psychiatry neurology in New York, NY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Mario Ivan Rendon, M.D. NPI is 1104098656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 E 30TH ST
AP 8L
NEW YORK, NY
ZIP 10016-416
Phone: (212) 532-6840
Fax: (212) 532-6840

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry115369NEW YORKNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry115369NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101786447MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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