Active NPI
Dr. Barry Taller
- Dental Clinic/Center
- Riverdale, NY
National Provider Identifier
1194175786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 22DI02638700
- Legal business name
- DR. BARRY TALLER
- Practice address
- 3601 Waldo Ave
Riverdale, NY 10463 - Phone
- (201) 218-4906
- NPI assigned
- Jun 15, 2016
- Last updated
- Jun 15, 2016
- 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
- Barry Taller
- Title
- Dentist
- Phone
- (201) 218-4306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 22DI02638700 | NJ | Primary |
Addresses
Primary practice location
3601 Waldo Ave
Riverdale, NY 10463
Mailing address
3601 Waldo Ave
Riverdale, NY 10463
National Provider Directory
National Provider DirectoryLocations
3601 Waldo Ave
Bronx, NY 10463
Phone (201) 218-4906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465948800000",
"number": "1194175786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 WALDO AVE",
"city": "RIVERDALE",
"state": "NY",
"postal_code": "10463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 WALDO AVE",
"city": "RIVERDALE",
"state": "NY",
"postal_code": "10463",
"telephone_number": "201-218-4906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. BARRY TALLER",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A",
"authorized_official_last_name": "TALLER",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "201-218-4306"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NJ",
"license": "22DI02638700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.