Individual provider Active NPI

Joshua Waskowitz

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1083637664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035399 Issued in PA
Practice address
369 Butler Street
Pittsburgh, PA 15223-9601
Phone
(412) 784-0228
Fax
(412) 784-0458
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS035399 PA Primary

Addresses

Primary practice location

369 Butler Street
Pittsburgh, PA 15223-9601

Mailing address

RR 1 Box 480
New Stanton, PA 15672-9601
Phone (412) 784-0228

Other identifiers 1

IdentifierTypeStateIssuer
1008387390001MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
DS035399PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Dental Associates, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083637664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 480",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156729601",
            "telephone_number": "412-784-0228",
            "fax_number": "412-784-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 BUTLER STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152239601",
            "telephone_number": "412-784-0228",
            "fax_number": "412-784-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKOWITZ",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008387390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

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.

Verify at the official NPI Registry.