Active NPI
Joel Pertofsky, DMD
- Dentist
- Stony Point, NY
National Provider Identifier
1437114261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 027687
- Practice address
- 15 N Liberty Dr
Stony Point, NY 10980 - Phone
- (845) 786-5813
- Fax
- (845) 786-3245
- NPI assigned
- Apr 17, 2006
- 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 | 027687 | NY | Primary |
Addresses
Primary practice location
15 N Liberty Dr
Stony Point, NY 10980
Mailing address
15 N Liberty Dr
Stony Point, NY 10980
Phone (845) 786-5813
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027687 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437114261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N LIBERTY DR",
"city": "STONY POINT",
"state": "NY",
"postal_code": "10980",
"telephone_number": "845-786-5813",
"fax_number": "845-786-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N LIBERTY DR",
"city": "STONY POINT",
"state": "NY",
"postal_code": "10980",
"telephone_number": "845-786-5813",
"fax_number": "845-786-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERTOFSKY",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "027687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.