Organization Active NPI

Dr. Barry Taller

  • Dental Clinic/Center
  • Riverdale, NY
National Provider Identifier
1194175786
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02638700 Issued in NJ
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.