NPIMap

Organization Active NPI

Jefferson Valley Dental Associates, P.C.

  • General Practice Dentistry
  • Jefferson Valley, NY
National Provider Identifier
1548402142
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045330 Issued in NY
Legal business name
JEFFERSON VALLEY DENTAL ASSOCIATES, P.C.
Practice address
3654 Lee Rd
Jefferson Valley, NY 10535
Phone
(914) 245-4760
Fax
(914) 243-9861
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Dr. Jose Rafael Lugay, DMDNPI 1790060424
Title
President
Phone
(914) 245-4760

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 045330 NY Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 044.672 NY

Addresses

Primary practice location

3654 Lee Rd
Jefferson Valley, NY 10535

Mailing address

P.O. Box 489
Jefferson Valley, NY 10535
Phone (914) 245-4760

National Provider Directory

National Provider Directory

Locations

3654 Lee Rd
Jefferson Valley, NY 10535
Phone (914) 245-4760

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1548402142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 489",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "10535",
            "telephone_number": "914-245-4760",
            "fax_number": "914-243-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 LEE RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "10535",
            "telephone_number": "914-245-4760",
            "fax_number": "914-243-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON VALLEY DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "LUGAY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-245-4760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045330",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044.672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.