NPIMap

Organization Active NPI

Steven M Kosoff DDS PLLC

  • Dental Clinic/Center
  • Rensselaer, NY
National Provider Identifier
1184006777
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
040946 Issued in NY
Legal business name
STEVEN M KOSOFF DDS PLLC
Practice address
1 Agway Dr
Rensselaer, NY 12144-9637
Phone
(518) 286-3500
Fax
(518) 286-3600
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Steven Michael Kosoff, DDSNPI 1932379203
Title
Owner/Dentist
Phone
(518) 286-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 040946 NY Primary

Addresses

Primary practice location

1 Agway Dr
Rensselaer, NY 12144-9637

Mailing address

1 Agway Dr
Rensselaer, NY 12144-9637
Phone (518) 286-3500

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1184006777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AGWAY DR",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449637",
            "telephone_number": "518-286-3500",
            "fax_number": "518-286-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AGWAY DR",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449637",
            "telephone_number": "518-286-3500",
            "fax_number": "518-286-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M KOSOFF DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "KOSOFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "518-286-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "040946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.