Bradley S. Portenoy, D.D.S,P.C.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

BRADLEY S. PORTENOY, D.D.S,P.C.

Practice address

371 Merrick Rd
Suite 304
Rockville Centre, NY 11570-5359

Phone

(516) 764-4386

Fax

(516) 764-4389

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Pataky

Title

Office Manager

Phone

(516) 764-4386

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Elaine F. Garver, D.M.D.

  • General Practice Dentistry
  • Rockville Centre, NY
  • NPI 1639196082
  NPD (past)
• Bradley S. Portenoy, D.D.S.

  • General Practice Dentistry
  • Rockville Centre, NY
  • NPI 1770503450
  NPD (past)

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1326445800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD",
            "address_2": "SUITE 304",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705359",
            "telephone_number": "516-764-4386",
            "fax_number": "516-764-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD",
            "address_2": "SUITE 304",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705359",
            "telephone_number": "516-764-4386",
            "fax_number": "516-764-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY S. PORTENOY, D.D.S,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "PATAKY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-764-4386"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lloyd Boykin, PSY.D.
• Mark Boyle, PH.D.
• Samantha Lynn Boyle, PA-C
• Antigone Bozikis, PT
• Serinna Alexia Bradfield, LMHC
• Jillian Brana
• Mark Stephen Brandon, MD
• Martin Joseph Brennan, PHD
• Ronald Brenner, MD
• Lewis Breslau, AUD

• Prosthodontics in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.