Active NPI
Micheal Joseph Telehany, D.D.S.
- Dentist
- Rushville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044590-1
- Practice address
- 2 Rubin Dr
Rushville, NY 14544-9681 - Phone
- (585) 554-4400
- Fax
- (585) 554-3342
- NPI assigned
- May 24, 2006
- Last updated
- Mar 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 044590-1 | NY | Primary |
Addresses
Primary practice location
2 Rubin Dr
Rushville, NY 14544-9681
Mailing address
2 Rubin Dr
Rushville, NY 14544-9681
Phone (585) 554-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01406642 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044590-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Penn Comprehensive Health Services | Current | Accepting new patients | |
| North Penn Comprehensive Health Services | Current | Accepting new patients | |
| North Penn Comprehensive Health Services | Current | Accepting new patients |
Locations
32 E Lawrence Rd
Lawrenceville, PA 16929
Phone (570) 827-0125
40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945
7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Laurel Health Center
- Federally Qualified Health Center (FQHC)
- Wellsboro, PA
- NPI 1912093576
-
dba Sullivan County Laurel Health Center
- Federally Qualified Health Center (FQHC)
- Laporte, PA
- NPI 1093520587
-
dba Blossburg Laurel Health Center
- Federally Qualified Health Center (FQHC)
- Blossburg, PA
- NPI 1154403038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1396790333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 RUBIN DR",
"city": "RUSHVILLE",
"state": "NY",
"postal_code": "145449681",
"telephone_number": "585-554-4400",
"fax_number": "585-554-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 RUBIN DR",
"city": "RUSHVILLE",
"state": "NY",
"postal_code": "145449681",
"telephone_number": "585-554-4400",
"fax_number": "585-554-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELEHANY",
"first_name": "MICHEAL",
"middle_name": "JOSEPH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044590-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01406642",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rushville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.