Idp Middletown

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDP MIDDLETOWN

Doing business as

Cornerstone Dental

Practice address

123 Academy Ave
Middletown, NY 10940-5211

Phone

(845) 342-4668

Fax

(845) 342-0642

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Carolyn Reidy

Title

Office Manager

Phone

(845) 342-4668

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanne M Koury, RDH

  • Dental Hygienist
  • Middletown, NY
  • NPI 1043587579
  NPD (past)
• Thomas E. Littner, DDS

  • General Practice Dentistry
  • Middletown, NY
  • NPI 1194749382
  NPD (past)

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1013310465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ACADEMY AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405211",
            "telephone_number": "845-342-4668",
            "fax_number": "845-342-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ACADEMY AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405211",
            "telephone_number": "845-342-4668",
            "fax_number": "845-342-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDP MIDDLETOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-342-4668"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecelia Hylton
• Michele F Iannuzzi-Sucich, MD
• Cherif Ibrahim, MD
• Dina Ibrahim, DO
• Ident Dental at Middletown
• Katherine L Idrovo, RN
• Charles Iglupas
• Augusta Ike
• Maria Ike
• Nkiruka Juliana Iloh, MD

• General Practice Dentistry in Middletown, NY
• Providers in Middletown, 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 Sep 30, 2014; 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.