NPIMap

Organization Active NPI

Cosmetic Dentistry Associates PLLC

  • Dentist
  • Pomona, NY
National Provider Identifier
1376997908
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
036021-1 Issued in NY
Legal business name
COSMETIC DENTISTRY ASSOCIATES PLLC
Practice address
1540 Route 202 Ste 14
Pomona, NY 10970-2922
Phone
(845) 364-0400
Fax
(845) 364-5189
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Peter R Auster, D.M.D.NPI 1639293855
Title
Dentist
Phone
(845) 364-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 036021-1 NY Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1540 Route 202 Ste 14
Pomona, NY 10970-2922

Mailing address

1540 Route 202 Ste 14
Pomona, NY 10970-2922
Phone (845) 364-0400

National Provider Directory

National Provider Directory

Locations

1540 Route 202
Ste 14
Pomona, NY 10970
Phone (845) 364-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1376997908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ROUTE 202 STE 14",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702922",
            "telephone_number": "845-364-0400",
            "fax_number": "845-364-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ROUTE 202 STE 14",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702922",
            "telephone_number": "845-364-0400",
            "fax_number": "845-364-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC DENTISTRY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "AUSTER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "845-364-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "036021-1",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.