Justin Rodney Kolnick, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

036355 Issued in NY

Practice address

222 Westchester Ave
Suite 402
White Plains, NY 10604-2906

Phone

(914) 946-2218

Fax

(914) 946-4303

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Endodontics of Westchester

  • Endodontics
  • White Plains, NY
  • NPI 1700241999
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306067046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 DEERFIELD LN N",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701429",
            "telephone_number": "914-946-2218",
            "fax_number": "914-946-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE",
            "address_2": "SUITE 402",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-946-2218",
            "fax_number": "914-946-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLNICK",
        "first_name": "JUSTIN",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "036355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Odquist Kohl, CNM
• Stephen Kohn, MSW
• Kayleigh L Kohnke, LMSW
• Motun Kolawole
• Iosif Kolbovsky, MD
• Raquelle Kolodny, LMHC
• Robin Edie Kolodzinski, LCSW
• Kaushik Kommaraju
• Odiya Camara Kone
• Dustin Kong, CNIM

• Endodontics in White Plains, NY
• Providers in White Plains, NY by specialty
• Endodontics 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.