NPIMap

Organization Active NPI

Richard Esmay,DDS & Mark Polsinellodmd.PC

  • General Practice Dentistry
  • Loudonville, NY
National Provider Identifier
1225280613
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045465 Issued in NY
Legal business name
RICHARD ESMAY,DDS & MARK POLSINELLODMD.PC
Practice address
399 Albany Shaker Rd Ste 201
Loudonville, NY 12211-1970
Phone
(518) 438-1131
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Mark J Polsinello, DMDNPI 1326183120
Title
President
Phone
(518) 438-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 030044 NY
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 045465 NY Primary

Addresses

Primary practice location

399 Albany Shaker Rd Ste 201
Loudonville, NY 12211-1970

Mailing address

399 Albany Shaker Rd Ste 201
Loudonville, NY 12211-1970
Phone (518) 438-1131

Other names 1

  • Lasting Impressions Doing business as

National Provider Directory

National Provider Directory

Locations

399 Albany Shaker Rd
Ste 201
Loudonville, NY 12211
Phone (518) 438-1131

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1225280613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 ALBANY SHAKER RD STE 201",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111970",
            "telephone_number": "518-438-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 ALBANY SHAKER RD STE 201",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111970",
            "telephone_number": "518-438-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD ESMAY,DDS & MARK POLSINELLODMD.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "POLSINELLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-438-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030044",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasting Impressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.