Organization Active NPI

Hudson River Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1295068278
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
050711 Issued in NY
Legal business name
HUDSON RIVER ORTHODONTICS, PC
Practice address
220 Riverside Blvd
Dental Office
New York, NY 10069-1001
Phone
(212) 580-1140
Fax
(212) 954-5583
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Saju Mathew, D.D.S.NPI 1225239734
Title
Owner/Doctor
Phone
(212) 580-1140

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 050711 NY Primary

Addresses

Primary practice location

220 Riverside Blvd
Dental Office
New York, NY 10069-1001

Mailing address

220 Riverside Blvd
Dental Office
New York, NY 10069-1001
Phone (212) 580-1140

National Provider Directory

National Provider Directory

Locations

220 Riverside Blvd
Ofc
New York, NY 10069
Phone (212) 580-1140

Practitioners & affiliated clinicians

Practitioners 1

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": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1295068278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE BLVD",
            "address_2": "DENTAL OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100691001",
            "telephone_number": "212-580-1140",
            "fax_number": "212-954-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE BLVD",
            "address_2": "DENTAL OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100691001",
            "telephone_number": "212-580-1140",
            "fax_number": "212-954-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON RIVER ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SAJU",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "212-580-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.