Jodi E Guttenberg, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

039539 Issued in NY

Practice address

111 N Park Ave
Rockville Centre, NY 11570-4105

Phone

(516) 678-7422

Fax

(516) 678-8067

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295880276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N PARK AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704105",
            "telephone_number": "516-678-7422",
            "fax_number": "516-678-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PARK AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704105",
            "telephone_number": "516-678-7422",
            "fax_number": "516-678-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTENBERG",
        "first_name": "JODI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "039539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Guerrier, CRNA
• Guiding Light Counseling Services, LCSW, P.C.
• Richard Guilfoyle
• Radhika Gupta, PT
• Debora L Gutman, DC
• Francine Amelia Guzman, MD
• Conellia Ha, MD
• Stephanie F Haag, PSY.D.
• Lauren M Habacker
• Nadia Habib, MD

• All providers in Rockville Centre, NY
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.