Individual provider Active NPI

Douglas P Gruffi, DDS

  • General Practice Dentistry
  • New City, NY
National Provider Identifier
1225184377
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041912 Issued in NY
Practice address
515 Route 304
Suite 1C
New City, NY 10956-3037
Phone
(845) 634-0404
Fax
(845) 634-6084
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041912 NY Primary
Pediatric Dentistry 1223P0221X 041912 NY

Addresses

Primary practice location

515 Route 304
Suite 1C
New City, NY 10956-3037

Mailing address

515 Route 304
Suite 1C
New City, NY 10956-3037
Phone (845) 634-0404

Other identifiers 1

IdentifierTypeStateIssuer
01189844MedicaidNY

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

LicenseStateTypeSpecialty
041912NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225184377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ROUTE 304",
            "address_2": "SUITE 1C",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563037",
            "telephone_number": "845-634-0404",
            "fax_number": "845-634-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROUTE 304",
            "address_2": "SUITE 1C",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563037",
            "telephone_number": "845-634-0404",
            "fax_number": "845-634-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUFFI",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041912",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "041912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01189844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.