Pediatric Dentistry of Poughkeepsie, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

055623 Issued in NY

Legal business name

PEDIATRIC DENTISTRY OF POUGHKEEPSIE, PLLC

Practice address

243 North Rd Ste 1B
Poughkeepsie, NY 12601-1172

Phone

(845) 454-3025

Fax

(845) 454-3054

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mayer Hersh Noskow, DDSNPI 1316267032

Title

Sole Member

Phone

(845) 454-3025

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayer Hersh Noskow, D.D.S.

  • Pediatric Dentistry
  • Poughkeepsie, NY
  • NPI 1316267032
  NPD (past) Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1215319124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 1B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-454-3025",
            "fax_number": "845-454-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 1B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-454-3025",
            "fax_number": "845-454-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF POUGHKEEPSIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "NOSKOW",
        "authorized_official_first_name": "MAYER",
        "authorized_official_middle_name": "HERSH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "845-454-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03541691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thara Pearce
• Pearle Vision Inc
• Charisse Pecorella, MSN, FNP-BC
• Diane Pedevillano, PT
• Frank C. Pedevillano, D.O.
• Peggy Langella
• Matthew Stephen Pelella, PHARMD, RPH
• Kimberly Ann Pelish, NP
• Jessica A Pelletier, LCSW-R
• Sophie B Peltzer-Rollo, N.P.

• Pediatric Dentistry in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.