Individual provider Active NPI

Cristi A Freinberg-Trufas, DDS

  • General Practice Dentistry
  • East Greenbush, NY
National Provider Identifier
1376564567
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050030 Issued in NY
Practice address
658 Columbia Tpke
Suite 3
East Greenbush, NY 12061-2111
Phone
(518) 477-2682
Fax
(518) 477-2691
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 050030 NY Primary

Addresses

Primary practice location

658 Columbia Tpke
Suite 3
East Greenbush, NY 12061-2111

Mailing address

658 Columbia Tpke
Suite 3
East Greenbush, NY 12061-2111
Phone (518) 477-2682

Other identifiers 2

IdentifierTypeStateIssuer
10068464-9312OtherNYCDPHP ID#
02388214MedicaidNY

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
050030NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376564567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 COLUMBIA TPKE",
            "address_2": "SUITE 3",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612111",
            "telephone_number": "518-477-2682",
            "fax_number": "518-477-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 COLUMBIA TPKE",
            "address_2": "SUITE 3",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612111",
            "telephone_number": "518-477-2682",
            "fax_number": "518-477-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREINBERG-TRUFAS",
        "first_name": "CRISTI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP ID#",
            "identifier": "10068464-9312",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02388214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.