NPIMap

Organization Active NPI

County Dental at Fishkill

  • General Practice Dentistry
  • Fishkill, NY
National Provider Identifier
1538306204
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047222-1 Issued in NY
Legal business name
COUNTY DENTAL AT FISHKILL
Practice address
200 Westage Business Ctr Dr Ste 233
BLDG. 2 Suite 233
Fishkill, NY 12524-2268
Phone
(845) 897-2097
Fax
(845) 897-2240
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Joseph Fertucci, DDS
Title
President
Phone
(845) 897-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 047222-1 NY Primary

Addresses

Primary practice location

200 Westage Business Ctr Dr Ste 233
BLDG. 2 Suite 233
Fishkill, NY 12524-2268

Mailing address

200 Westage Business Ctr Dr Ste 233
BLDG. 2 Suite 233
Fishkill, NY 12524-2268
Phone (845) 897-2097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1538306204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 233",
            "address_2": "BLDG. 2 SUITE 233",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242268",
            "telephone_number": "845-897-2097",
            "fax_number": "845-897-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 233",
            "address_2": "BLDG. 2 SUITE 233",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242268",
            "telephone_number": "845-897-2097",
            "fax_number": "845-897-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY DENTAL AT FISHKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "FERTUCCI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-897-2097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047222-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.