Individual provider Active NPI

Alan I Rosenfeld, D.D.S.

  • General Practice Dentistry
  • Orangeburg, NY
National Provider Identifier
1467458687
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030244 Issued in NY
Practice address
516 Route 303
Ste 3
Orangeburg, NY 10962-1353
Phone
(914) 772-7013
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 030244 NY Primary

Addresses

Primary practice location

516 Route 303
Ste 3
Orangeburg, NY 10962-1353

Mailing address

1114 Route 9W S
Nyack, NY 10960-4906
Phone (914) 772-7013

Other practice location 1

1114 Route 9W S
Nyack, NY 10960-4906
Phone (914) 772-7013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000365 NY Practitioner - Dentist 0547576316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1467458687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 ROUTE 9W S",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604906",
            "telephone_number": "914-772-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROUTE 303",
            "address_2": "STE 3",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621353",
            "telephone_number": "914-772-7013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 ROUTE 9W S",
            "address_purpose": "LOCATION",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604906",
            "country_code": "US",
            "telephone_number": "914-772-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "ALAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.