Active NPI
Edsel Roy Tarife, D.D.S.
- General Practice Dentistry
- Suffern, NY
National Provider Identifier
1235451642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052338-1
- Practice address
- 156 Route 59
Suite# A1
Suffern, NY 10901-5005 - Phone
- (845) 356-8844
- Fax
- (845) 547-2218
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052338-1 | NY | Primary |
Addresses
Primary practice location
156 Route 59
Suite# A1
Suffern, NY 10901-5005
Mailing address
156 Route 59
Suite# A1
Suffern, NY 10901-5005
Phone (845) 356-8844
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
| License | State | Type | Specialty |
|---|---|---|---|
| 052338-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ident Dental at Suffern | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Suffern, NY
- NPI 1033541552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1235451642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 ROUTE 59",
"address_2": "SUITE# A1",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015005",
"telephone_number": "845-356-8844",
"fax_number": "845-356-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 ROUTE 59",
"address_2": "SUITE# A1",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015005",
"telephone_number": "845-356-8844",
"fax_number": "845-547-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARIFE",
"first_name": "EDSEL",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052338-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.