Organization Active NPI

Benjy Goldstein & George Freud DDS PLLC

  • General Practice Dentistry
  • Newburgh, NY
National Provider Identifier
1265657662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035464 Issued in NY
Legal business name
BENJY GOLDSTEIN & GEORGE FREUD DDS PLLC
Practice address
1401 Route 300
Newburgh, NY 12550-2990
Phone
(845) 564-9300
Fax
(845) 564-9307
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George A Freud, D.D.S.
Title
Member
Phone
(845) 564-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 035464 NY Primary

Addresses

Primary practice location

1401 Route 300
Newburgh, NY 12550-2990

Mailing address

1401 Route 300
Newburgh, NY 12550-2990
Phone (845) 564-9300

Other identifiers 1

IdentifierTypeStateIssuer
02258491MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265657662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-564-9300",
            "fax_number": "845-564-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-564-9300",
            "fax_number": "845-564-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJY GOLDSTEIN & GEORGE FREUD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREUD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-564-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02258491",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.