Individual provider Active NPI

Benjamin Carl Rudow, D.D.S.

  • General Practice Dentistry
  • White Plains, NY
National Provider Identifier
1295095222
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056864 Issued in NY
Practice address
280 Mamaroneck Ave Ste 307
White Plains, NY 10605
Phone
(914) 949-8266
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056864 NY Primary

Addresses

Primary practice location

280 Mamaroneck Ave Ste 307
White Plains, NY 10605

Mailing address

32 Colby LN
Briarcliff Manor, NY 10510-1749
Phone (914) 588-0912

Other practice location 1

95 Church St Ste 304
White Plains, NY 10601-1521
Phone (914) 428-4820

Other practice location 2

280 Mamaroneck Ave Ste 307
White Plains, NY 10605
Phone (914) 949-8266

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

LicenseStateTypeSpecialty
056864NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Dentistry PLLC Past Accepting new patients
Dori M Katzdmd/Jeffrey Katz DDS Past Accepting new patients
Benjamin Rudow DDS PC PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1295095222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COLBY LN",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101749",
            "telephone_number": "914-588-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAMARONECK AVE STE 307",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-949-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Church St Ste 304",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106011521",
            "country_code": "US",
            "telephone_number": "914-428-4820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Mamaroneck Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "10605",
            "country_code": "US",
            "telephone_number": "914-949-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOW",
        "first_name": "BENJAMIN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.