Organization Active NPI

Barry Ortenberg Gary P Jablow Charles a Baker DDS PC

  • Endodontics
  • Coram, NY
National Provider Identifier
1467510636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BARRY ORTENBERG GARY P JABLOW CHARLES A BAKER DDS PC
Practice address
248 260 Middle Country Road
Coram, NY 11727-0449
Phone
(631) 736-2525
Fax
(631) 736-6825
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Barry Ortenberg, DDSNPI 1114098076
Title
Treasurer
Phone
(631) 736-2525

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
Endodontics 1223E0200X Primary

Addresses

Primary practice location

248 260 Middle Country Road
Coram, NY 11727-0449

Mailing address

PO Box 449
Coram, NY 11727
Phone (631) 736-2525

National Provider Directory

National Provider Directory

Locations

260 Middle Country Rd
Coram, NY 11727
Phone (631) 736-2525

Practitioners & affiliated clinicians

Practitioners 2

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467510636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "631-736-2525",
            "fax_number": "631-736-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 260 MIDDLE COUNTRY ROAD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117270449",
            "telephone_number": "631-736-2525",
            "fax_number": "631-736-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY ORTENBERG GARY P JABLOW CHARLES A BAKER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTENBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "631-736-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, 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.