Active NPI
Gary a. Rosenfeld, DDS, PC
Doing business as Island Daily Dental Care
- Dentist
- Medford, NY
National Provider Identifier
1336689835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 038886
- Legal business name
- GARY A. ROSENFELD, DDS, PC
- Doing business as
- Island Daily Dental Care
- Practice address
- 2801 Route 112
Suite a
Medford, NY 11763-2568 - Phone
- (631) 286-9000
- NPI assigned
- Mar 2, 2017
- Last updated
- Mar 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Alan Rosenfeld, D.D.S.
- Title
- President
- Phone
- (631) 286-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 038886 | NY | Primary |
Addresses
Primary practice location
2801 Route 112
Suite a
Medford, NY 11763-2568
Mailing address
2801 Route 112
Suite a
Medford, NY 11763-2568
Phone (631) 286-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0388861 | Other | NY | LICENSE |
Other names 1
- Island Daily Dental Care
National Provider Directory
National Provider Directory- Tax ID family
- East Islip Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba East Islip Dental Care
- Dental Clinic/Center
- East Islip, NY
- NPI 1649606070
Locations
2801 Route 112
Ste A
Medford, NY 11763
Phone (631) 286-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488412800000",
"number": "1336689835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 ROUTE 112",
"address_2": "SUITE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632568",
"telephone_number": "631-286-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ROUTE 112",
"address_2": "SUITE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632568",
"telephone_number": "631-286-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY A. ROSENFELD, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A",
"authorized_official_last_name": "ROSENFELD",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-286-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "038886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0388861",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Daily Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.