Organization Active NPI

Kirshenbaum Peruso LLP

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1164505871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039708 Issued in NY
Legal business name
KIRSHENBAUM PERUSO LLP
Practice address
169 Park Ave
Yonkers, NY 10703
Phone
(914) 965-3864
NPI assigned
Oct 24, 2006
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. David Kirshenbaum, DDS
Title
Partner
Phone
(914) 965-3864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 039708 NY Primary

Addresses

Primary practice location

169 Park Ave
Yonkers, NY 10703

Mailing address

169 Park Ave
Yonkers, NY 10703
Phone (914) 965-3864

Other identifiers 1

IdentifierTypeStateIssuer
01250453MedicaidNY

Other names 1

  • East Harlem Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164505871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-965-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-965-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSHENBAUM PERUSO LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSHENBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-965-3864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01250453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Harlem Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.