Active NPI
Glen J. Applebaum, D.D.S.
- Dentist
- New Rochelle, NY
National Provider Identifier
1003018466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 035864
- Practice address
- 77 Quaker Ridge Rd
Suite 206
New Rochelle, NY 10804-2808 - Phone
- (914) 636-4118
- Fax
- (914) 632-1304
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 035864 | NY | Primary |
Addresses
Primary practice location
77 Quaker Ridge Rd
Suite 206
New Rochelle, NY 10804-2808
Mailing address
6 Iroquois TRL
Harrison, NY 10528-1806
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003018466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 IROQUOIS TRL",
"city": "HARRISON",
"state": "NY",
"postal_code": "105281806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 QUAKER RIDGE RD",
"address_2": "SUITE 206",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042808",
"telephone_number": "914-636-4118",
"fax_number": "914-632-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEBAUM",
"first_name": "GLEN",
"middle_name": "J.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "035864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.