Larry K Rosenthal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030696 Issued in NY

Practice address

7143 66TH PL
Glendale, NY 11385-7047

Phone

(718) 497-1728

Fax

(718) 497-2761

NPI assigned

Dec 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Larry Rosenthal,DMD,PC

  • Dentist
  • Glendale, NY
  • NPI 1528197688
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306904024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 66TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857047",
            "telephone_number": "718-497-1728",
            "fax_number": "718-497-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 66TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857047",
            "telephone_number": "718-497-1728",
            "fax_number": "718-497-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "LARRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00283876",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFIER NUMBER",
            "identifier": "112389244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Lourdes Orlanes Roldan, OTR
• Debra Roman
• Miriam Roman, MSED
• Marisol Rosario, MS, CCC-SLP
• Nicole Rosario
• Lilien Joan Ross
• Victoria Ross, OT
• Emily Rubin
• Rullo Trading Company
• Susan Ruoff, LPN

• General Practice Dentistry in Glendale, NY
• Providers in Glendale, NY by specialty
• General Practice 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.