Organization Active NPI

Newburgh Dental Group

  • Dentist
  • Newburgh, NY
National Provider Identifier
1225388127
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52858 Issued in NY
Legal business name
NEWBURGH DENTAL GROUP
Doing business as
newburgh dental group
Practice address
31 S Plank Rd
Newburgh, NY 12550-3901
Phone
(845) 565-2140
Fax
(845) 565-2229
NPI assigned
Sep 18, 2012
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Dr. Mara Paige Rosenberg, DDS
Title
Partner
Phone
(646) 320-8247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 52858 NY Primary

Addresses

Primary practice location

31 S Plank Rd
Newburgh, NY 12550-3901

Mailing address

31 S Plank Rd
Newburgh, NY 12550-3901
Phone (845) 565-2140

Other names 1

  • newburgh dental group Doing business as

National Provider Directory

National Provider Directory

Locations

31 S Plank Rd
Newburgh, NY 12550
Phone (845) 565-2140

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1225388127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503901",
            "telephone_number": "845-565-2140",
            "fax_number": "845-565-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503901",
            "telephone_number": "845-565-2140",
            "fax_number": "845-565-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "646-320-8247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "52858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "newburgh dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.