Roderick Macrae, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034107 Issued in NY

Practice address

83 Haviland Dr
Patterson, NY 12563-2166

Phone

(845) 278-6116

Fax

(845) 278-6117

NPI assigned

Oct 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003902974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HAVILAND DR",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632166",
            "telephone_number": "845-278-6116",
            "fax_number": "845-278-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HAVILAND DR",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632166",
            "telephone_number": "845-278-6116",
            "fax_number": "845-278-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRAE",
        "first_name": "RODERICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00492824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Cassidy NP in Adult Health PLLC
• Patricia Ann Lawrence, M. D.
• Cherryl Lewis-Berry
• Susan D. Lohmann, M.S., CCC-SLP
• Kathy M Maccarthy, LCSW-R
• Lydia Susan Macwan
• Olga Manson, M.D.
• Georgina Adelaide Marek, M.S. SPECIAL EDUCATI
• Nancy Marie McCormack, RN
• Shannon Stuart McGee, DDS

• General Practice Dentistry in Patterson, NY
• Providers in Patterson, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.