Active NPI
Gregg R Fader, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Scarsdale, NY
National Provider Identifier
1194814434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 040972
- Practice address
- 1075 Central Park Ave Ste 201
Scarsdale, NY 10583-3232 - Phone
- (914) 358-4139
- Fax
- (914) 358-4140
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 040972 | NY | Primary |
Addresses
Primary practice location
1075 Central Park Ave Ste 201
Scarsdale, NY 10583-3232
Mailing address
1 Jordan LN
Ardsley, NY 10502-1313
Phone (914) 693-4442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040972 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1194814434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JORDAN LN",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021313",
"telephone_number": "914-693-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 CENTRAL PARK AVE STE 201",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833232",
"telephone_number": "914-358-4139",
"fax_number": "914-358-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADER",
"first_name": "GREGG",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "040972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
- Eugene J Liu MD PC (Restoration Sports & Spine Center)
- Eugene J Sidoti Jr MD PC (Scarsdale Plastic Surgical Suite)
- Eugene J. Sidoti, Jr., MD, PC
- Eye Health Optometry Service Ny PLLC
- Face to Face Counseling and Psychotherapy
- Elizabeth Fahey, LMSW
- Family and Community Counseling Center
- Paul Farber, OPTICIAN
- Salvatore A Farruggio, M.D.
- Robert B Fath Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.