Jefferson Valley Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JEFFERSON VALLEY PEDIATRIC DENTISTRY

Practice address

3630 Hill Blvd Ste 101
Jefferson Valley, NY 10535-1503

Phone

(914) 245-7100

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Witkiewicz

Title

Coo

Phone

(845) 226-8577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1366120842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAY LN",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335918",
            "telephone_number": "845-226-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD STE 101",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351503",
            "telephone_number": "914-245-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON VALLEY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "WITKIEWICZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "845-226-8577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Physical Therapy PC
• Arnold Lewis Isaacson, D.P.M.
• Jennifer Kantor Jackman, LCSW
• Carly Jacoby
• Jefferson Valley Dental Associates, P.C.
• Jefferson Valley Pharmacy Inc (Jefferson Valley Pharmacy)
• Jefferson Valley Podiatry Associates, P.C.
• Jeffrey P Schachne MD
• Marc P Kaufman, DDS
• Sandra C Kellett, O.D.

• Pediatric Dentistry in Jefferson Valley, NY
• Providers in Jefferson Valley, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.