Organization Active NPI

Dellanira Rosario-Leger Dentistry

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1306390182
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042475 Issued in NY
Legal business name
DELLANIRA ROSARIO-LEGER DENTISTRY
Practice address
701 W 179TH St Apt 3
New York, NY 10033-6027
Phone
(212) 740-1208
Fax
(212) 740-7755
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dellanira Rosario-Leger, DDSNPI 1083603419
Title
Director of Corporation
Phone
(212) 740-1208

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 042475 NY Primary

Addresses

Primary practice location

701 W 179TH St Apt 3
New York, NY 10033-6027

Mailing address

701 W 179TH St Apt 3
New York, NY 10033-6027
Phone (212) 740-1208

Other identifiers 1

IdentifierTypeStateIssuer
01137377MedicaidNY

National Provider Directory

National Provider Directory

Locations

701 W 179th St
Apt 3
New York, NY 10033
Phone (212) 740-1208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1306390182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 179TH ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336027",
            "telephone_number": "212-740-1208",
            "fax_number": "212-740-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 179TH ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336027",
            "telephone_number": "212-740-1208",
            "fax_number": "212-740-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLANIRA ROSARIO-LEGER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "ROSARIO-LEGER",
        "authorized_official_first_name": "DELLANIRA",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATION",
        "authorized_official_telephone_number": "212-740-1208",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01137377",
            "state": "NY"
        }
    ],
    "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 Aug 9, 2016; 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.