Organization Active NPI

Cedarhurst Dental Office

  • Dentist
  • Cedarhurst, NY
National Provider Identifier
1104099829
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047935 Issued in NY
Legal business name
CEDARHURST DENTAL OFFICE
Practice address
139 Grove Ave
Cedarhurst, NY 11516-2316
Phone
(516) 295-2424
Fax
(516) 295-2429
NPI assigned
Apr 3, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Howard M Goldschein, D.M.D.NPI 1356455364
Title
Dentist
Phone
(516) 295-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047935 NY Primary

Addresses

Primary practice location

139 Grove Ave
Cedarhurst, NY 11516-2316

Mailing address

139 Grove Ave
Cedarhurst, NY 11516-2316
Phone (516) 295-2424

Other identifiers 1

IdentifierTypeStateIssuer
02199791MedicaidNY

National Provider Directory

National Provider Directory

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1104099829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162316",
            "telephone_number": "516-295-2424",
            "fax_number": "516-295-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162316",
            "telephone_number": "516-295-2424",
            "fax_number": "516-295-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARHURST DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "GOLDSCHEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-295-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02199791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.