Active NPI
Kirshenbaum Peruso LLP
- General Practice Dentistry
- Yonkers, NY
National Provider Identifier
1164505871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 039708
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01250453 | Medicaid | NY |
Other names 1
- East Harlem Dental
National Provider Directory
National Provider DirectoryNPI 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.