Ridgewood Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

0423791 Issued in NY

Legal business name

RIDGEWOOD DENTAL GROUP

Practice address

5431 Myrtle Ave
Ridgewood, NY 11385-3403

Phone

(715) 456-7600

Fax

(718) 821-3976

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marietta Cuiffo-Moradi, DDS

Title

Pres.

Phone

(717) 456-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paola Julieth Gutierrez, R.D.H.

  • Dental Hygienist
  • Ridgewood, NY
  • NPI 1508953209
  NPD (past)
• Marie F Jean, RDH

  • Dental Hygienist
  • Ridgewood, NY
  • NPI 1023297074
  NPD (past)
• Miriam M Martinez, RDH

  • Dental Hygienist
  • Ridgewood, NY
  • NPI 1215020268
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1164601266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853403",
            "telephone_number": "715-456-7600",
            "fax_number": "718-821-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853403",
            "telephone_number": "715-456-7600",
            "fax_number": "718-821-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CUIFFO-MORADI",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "717-456-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0423791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01001716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Richards, MHC INTERN
• Ridgewood Acupuncture PC
• Ridgewood Bushwick Nephrology Associates,PLLC
• Ridgewood Chemists Inc
• Ridgewood City Pharmacy Inc.
• Ridgewood Dialysis Center, Inc
• Ridgewood Medical Diagnostic PC
• Ridgewood Optical Warehouse Outlet Corp.
• Ridgewood Optical, Inc.
• Ridgewood Pharmacy Express Inc

• Dentist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.