NPIMap

Organization Active NPI

Esopus Dental, PC

  • General Practice Dentistry
  • Rifton, NY
National Provider Identifier
1508885898
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52863 Issued in NY
Legal business name
ESOPUS DENTAL, PC
Practice address
105 Woodcrest Drive
Rifton, NY 12471
Phone
(845) 658-8131
NPI assigned
Jul 18, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Josef Loewenthal, DDS
Title
Vice President
Phone
(845) 481-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52863 NY Primary

Addresses

Primary practice location

105 Woodcrest Drive
Rifton, NY 12471

Mailing address

10 Hellbrook Lane
Ulster Park, NY 12487
Phone (845) 481-7014

Other identifiers 1

IdentifierTypeStateIssuer
02532218MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Esopus Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2032 Route 213 St
Rifton, NY 12471
Phone (845) 658-8351

10 Hellbrook Ln
Ulster Park, NY 12487
Phone (845) 339-6680

Practitioners & affiliated clinicians

Practitioners 11

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1508885898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HELLBROOK LANE",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "12487",
            "telephone_number": "845-481-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WOODCREST DRIVE",
            "city": "RIFTON",
            "state": "NY",
            "postal_code": "12471",
            "telephone_number": "845-658-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESOPUS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "LOEWENTHAL",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-481-7014",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "52863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02532218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.