Jonathan Torma, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

041146 Issued in NY

Practice address

228 N Main St
Clarkstown Dental, PLLC
New City, NY 10956-5302

Phone

(845) 634-8111

Fax

(845) 634-8208

NPI assigned

Aug 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1194916783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N MAIN ST",
            "address_2": "CLARKSTOWN DENTAL, PLLC",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-634-8111",
            "fax_number": "845-634-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N MAIN ST",
            "address_2": "CLARKSTOWN DENTAL, PLLC",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-634-8111",
            "fax_number": "845-634-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORMA",
        "first_name": "JONATHAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.