Madison Avenue Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MADISON AVENUE DENTAL CARE PLLC

Practice address

515 Madison Ave
3303
New York, NY 10022-5403

Phone

(212) 751-1333

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Simon Roytberg

Title

Member

Phone

(201) 328-7059

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Cheryl Kantor-Goldenberg, D.D.S.

  • General Practice Dentistry
  • New York, NY
  • NPI 1164520318
  NPD (past)
• Allison T Moses, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1770787780
  NPD (past)
• Jacqueline Marcy Wenger, RDH

  • Dental Hygienist
  • New York, NY
  • NPI 1336963990
  NPD (past)

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1326498734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "3303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-751-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "3303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-751-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "ROYTBERG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-328-7059"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Anesthesiologist Billing, Inc
• Madison Apothecary Inc.
• Madison Audiology Associates
• Madison Ave Consulting
• Madison Ave Smiles Dental PC
• Madison Avenue Dental Studio
• Madison Avenue Dentistry, PLLC
• Madison Avenue Emergency Medicine PC
• Madison Avenue Eye Care LTD.
• Madison Avenue Footcare, PC (Nadya Dimitrov, DPM)

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.