Organization Active NPI

Meredith B Jaffe DDS PC

  • Dentist
  • Huntington, NY
National Provider Identifier
1417087750
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041709 Issued in NY
Legal business name
MEREDITH B JAFFE DDS PC
Practice address
7 High Street
Suite 209
Huntington, NY 11743
Phone
(631) 673-8061
NPI assigned
Mar 6, 2007
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Meredith B Jaffe, DDSNPI 1619007929
Title
Dentist
Phone
(631) 368-7607

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 041709 NY Primary

Addresses

Primary practice location

7 High Street
Suite 209
Huntington, NY 11743

Mailing address

9 Medford Lane
E Northport, NY 11731-5229
Phone (631) 368-7607

National Provider Directory

National Provider Directory

Locations

7 High St
Ste 209
Huntington, NY 11743
Phone (631) 673-8061

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1417087750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDFORD LANE",
            "city": "E NORTHPORT",
            "state": "NY",
            "postal_code": "117315229",
            "telephone_number": "631-368-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HIGH STREET",
            "address_2": "SUITE 209",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-673-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH B JAFFE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-368-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.