NPIMap

Organization Active NPI

White Plains Family Denistry PLLC

  • Durable Medical Equipment & Medical Supplies
  • White Plains, NY
National Provider Identifier
1316577109
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WHITE PLAINS FAMILY DENISTRY PLLC
Practice address
16 Martine Ave
White Plains, NY 10606-1909
Phone
(914) 428-2052
Fax
(914) 428-0304
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Cary Debenedictis
Title
Credentialing
Phone
(914) 428-2052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

16 Martine Ave
White Plains, NY 10606-1909

Mailing address

16 Martine Ave
White Plains, NY 10606-1909
Phone (914) 428-2052

National Provider Directory

National Provider Directory

Locations

16 Martine Ave
White Plains, NY 10606
Phone (914) 428-2052

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1316577109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MARTINE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061909",
            "telephone_number": "914-428-2052",
            "fax_number": "914-428-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MARTINE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061909",
            "telephone_number": "914-428-2052",
            "fax_number": "914-428-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PLAINS FAMILY DENISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "DEBENEDICTIS",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "914-428-2052"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Jan 21, 2020; 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.