Organization Active NPI

West Nyack Dental, PC

  • Dentist
  • West Nyack, NY
National Provider Identifier
1417052572
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0351251 Issued in NY
Legal business name
WEST NYACK DENTAL, PC
Practice address
719 W Nyack Rd
Suite 26
West Nyack, NY 10994-2240
Phone
(845) 358-6888
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Goldstein, DDS
Title
Owner
Phone
(845) 358-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0351251 NY Primary

Addresses

Primary practice location

719 W Nyack Rd
Suite 26
West Nyack, NY 10994-2240

Mailing address

719 W Nyack Rd
Suite 26
West Nyack, NY 10994-2240
Phone (845) 358-6888

National Provider Directory

National Provider Directory

Locations

719 W Nyack Rd
Ste 26
West Nyack, NY 10994
Phone (845) 358-6888

Practitioners & affiliated clinicians

Practitioners 2

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417052572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W NYACK RD",
            "address_2": "SUITE 26",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942240",
            "telephone_number": "845-358-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W NYACK RD",
            "address_2": "SUITE 26",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942240",
            "telephone_number": "845-358-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NYACK DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-358-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0351251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.