Organization Active NPI

Gordon & Maltz P.C.

  • Periodontics
  • Middletown, NY
National Provider Identifier
1265336069
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
GORDON & MALTZ P.C.
Practice address
22 Mulberry St Ste 2C
Middletown, NY 10940-5741
Phone
(845) 343-0519
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GORDON & MALTZ P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

22 Mulberry St Ste 2C
Middletown, NY 10940-5741

Mailing address

22 Mulberry St Ste 2C
Middletown, NY 10940-5741
Phone (845) 343-0519

National Provider Directory

National Provider Directory
Tax ID family
Gordon Maltz PC3 organizations share this tax ID, including this one
Part of
Gordon Maltz PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22 Mulberry St
Ste 2C
Middletown, NY 10940
Phone (845) 343-0519

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1265336069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MULBERRY ST STE 2C",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405741",
            "telephone_number": "845-343-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MULBERRY ST STE 2C",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405741",
            "telephone_number": "845-343-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON & MALTZ P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GORDON & MALTZ P.C.",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.