Organization Active NPI

Yonkers Dental Associates, P.C.

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1144327719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039376 Issued in NY
Legal business name
YONKERS DENTAL ASSOCIATES, P.C.
Practice address
131 Park Ave
Yonkers, NY 10703-2996
Phone
(914) 964-1000
Fax
(914) 964-1170
NPI assigned
Sep 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Nadler, D.D.S.
Title
President
Phone
(914) 964-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039376 NY Primary

Addresses

Primary practice location

131 Park Ave
Yonkers, NY 10703-2996

Mailing address

131 Park Ave
Yonkers, NY 10703-2996
Phone (914) 964-1000

Other identifiers 1

IdentifierTypeStateIssuer
02769762MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144327719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032996",
            "telephone_number": "914-964-1000",
            "fax_number": "914-964-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032996",
            "telephone_number": "914-964-1000",
            "fax_number": "914-964-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONKERS DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-964-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02769762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.