Claudia Gutman Patch, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

055016-1 Issued in NY

Practice address

121 Route 375
Woodstock, NY 12498-1815

Phone

(845) 679-3706

Fax

(845) 679-7594

NPI assigned

Jul 5, 2009

Last updated

Aug 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Woodstock General & Implant Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Woodstock, NY
  • NPI 1457880742
  NPD

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1093944688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRUNEL DR",
            "city": "BOICEVILLE",
            "state": "NY",
            "postal_code": "124125116",
            "telephone_number": "860-833-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROUTE 375",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981815",
            "telephone_number": "845-679-3706",
            "fax_number": "845-679-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCH",
        "first_name": "CLAUDIA",
        "middle_name": "GUTMAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055016-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One World Family Medicine PC
• Marcia Darrelee Panza, R.N.
• Bruce Shea Parker, MA, LCSW
• Brian Pasquariello, LMSW
• Emily Ann Passik, LMSW
• Shivani Patel
• Heather Dawn Pecoraro, MHC-LP
• Diane Pennay
• Emma Nicole Maley Pile, LMSW
• Abigail Mary Podrecca, L.AC.

• Dentist in Woodstock, NY
• Providers in Woodstock, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.