Individual provider Active NPI

Jeffrey T. Rothstein, D.M.D.

  • General Practice Dentistry
  • Woodbury, NY
National Provider Identifier
1366677544
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043108 Issued in NY
Practice address
7952 Jericho Tpke
Woodbury, NY 11797-1204
Phone
(516) 496-8101
Fax
(516) 496-8180
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043108 NY Primary

Addresses

Primary practice location

7952 Jericho Tpke
Woodbury, NY 11797-1204

Mailing address

7952 Jericho Tpke
Woodbury, NY 11797-1204
Phone (516) 496-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
043108NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1366677544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7952 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971204",
            "telephone_number": "516-496-8101",
            "fax_number": "516-496-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7952 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971204",
            "telephone_number": "516-496-8101",
            "fax_number": "516-496-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.