Main Street Fishkill Dental, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MAIN STREET FISHKILL DENTAL, PLLC

Practice address

887 Main St
Fishkill, NY 12524-2254

Phone

(845) 896-8000

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Emily Maisch

Title

Director of Operations

Phone

(845) 430-9394

Specialties & licenses 1

Addresses

Other names 1

• Hudson Valley Dental Implants & Periodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Anthony Vilardi, D.M.D.

  • Periodontics
  • Fishkill, NY
  • NPI 1770604795
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1538985809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242254",
            "telephone_number": "845-896-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242254",
            "telephone_number": "845-896-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FISHKILL DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "MAISCH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "845-430-9394"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Valley Dental Implants & Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• M. Saleem Choudhry, MD, PC
• Irene Ma, RPH
• Klaudia Anna Macele
• Patricia M. Mackey, LCSWR,CASAC
• Stacey Alison Madoff, M.D.
• Imtiaz A Mallick, MD
• Carly D Mallozzi, L.M.T
• Mario John Malvarosa, M.D.
• Anna Mandia, LCSW
• Kathleen K. Mandy, M.D.

• Periodontics in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.