Active NPI
Ronald Deutsen DDS PC
- Dentist
- Brooklyn, NY
National Provider Identifier
1144598590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 049859
- Legal business name
- RONALD DEUTSEN DDS PC
- Practice address
- 1122 Coney Island Ave
Brooklyn, NY 11230 - Phone
- (718) 253-2300
- Fax
- (718) 252-7910
- NPI assigned
- Dec 13, 2011
- Last updated
- Dec 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Deutsen, DDS
- Title
- Principal Owner/Director
- Phone
- (718) 253-2300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 049859 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 049859 | NY |
Addresses
Primary practice location
1122 Coney Island Ave
Brooklyn, NY 11230
Mailing address
2016 Ave M
Brooklyn, NY 11210
Phone (718) 253-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02241858 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2016 Avenue M
Brooklyn, NY 11210
Phone (718) 253-2300
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.
-
- Dentist
- Brooklyn, NY
- NPI 1215063722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1144598590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 AVE M",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11210",
"telephone_number": "718-253-2300",
"fax_number": "718-252-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-253-2300",
"fax_number": "718-252-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD DEUTSEN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "DEUTSEN",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRINCIPAL OWNER/DIRECTOR",
"authorized_official_telephone_number": "718-253-2300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "049859",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049859",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02241858",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Victoria Michelle Romo
- Jean Robert Romulus, M.D
- Rona Appel MD PC
- Rona Appel, MD. PC.
- Ronald C. Huang M.D. LLC (NY Partners Orthopedics)
- Ronald J. Gutman D.M.D.P.C.
- Ronald Jacques MD PC
- Ronald R Brancaccio MD & Peter Saitta DO PC (The Skin Institute of New York)
- Ronald S. Ciaccia Occupational Therapist P.C. (Therapia Rehabilitation Services)
- Matthew Lawrence Ronan, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.