NPIMap

Organization Active NPI

Prohealth Riverside Dental, LLC

  • Dentist
  • Rutherford, NJ
National Provider Identifier
1336798909
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PROHEALTH RIVERSIDE DENTAL, LLC
Practice address
201 Route 17 FL 12
Rutherford, NJ 07070-2557
Phone
(516) 654-4400
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Neil Karnofsky
Title
Owner
Phone
(516) 531-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

201 Route 17 FL 12
Rutherford, NJ 07070-2557

Mailing address

1 Pro Health PLZ Ste 300
New Hyde Park, NY 11042

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Riverside Dental LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1336798909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRO HEALTH PLZ STE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17 FL 12",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702557",
            "telephone_number": "516-654-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH RIVERSIDE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "KARNOFSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-531-5500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.