NPIMap

Organization Active NPI

Robert J Doherty DDS PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • White Plains, NY
National Provider Identifier
1093981466
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
028025 Issued in NY
Legal business name
ROBERT J DOHERTY DDS PC
Practice address
280 Mamaroneck Ave
Suite #210
White Plains, NY 10605-1438
Phone
(914) 948-3883
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Robert J Doherty, DDSNPI 1780716183
Title
President
Phone
(914) 948-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 028025 NY Primary

Addresses

Primary practice location

280 Mamaroneck Ave
Suite #210
White Plains, NY 10605-1438

Mailing address

280 Mamaroneck Ave
Suite #210
White Plains, NY 10605-1438
Phone (914) 948-3883

National Provider Directory

National Provider Directory

Locations

280 Mamaroneck Ave
Ste 210
White Plains, NY 10605
Phone (914) 948-3883

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1093981466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAMARONECK AVE",
            "address_2": "SUITE #210",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051438",
            "telephone_number": "914-948-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAMARONECK AVE",
            "address_2": "SUITE #210",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051438",
            "telephone_number": "914-948-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J DOHERTY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-948-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "028025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.