Organization Active NPI

Rotterdam Family Dental

  • Dental Clinic/Center
  • Schenectady, NY
National Provider Identifier
1568205359
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROTTERDAM FAMILY DENTAL
Practice address
1004 Princetown Rd Ste 1
Schenectady, NY 12306-9766
Phone
(518) 355-5492
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Anthony Bogdan, DDSNPI 1790308757
Title
Owner
Phone
(516) 288-5495

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1004 Princetown Rd Ste 1
Schenectady, NY 12306-9766

Mailing address

997 Rosedale Rd
Valley Stream, NY 11581-2702
Phone (516) 288-5495

National Provider Directory

National Provider Directory

Locations

1004 Princetown Rd
Ste 1
Schenectady, NY 12306
Phone (518) 355-5492

Practitioners & affiliated clinicians

Practitioners 1

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": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1568205359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 ROSEDALE RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812702",
            "telephone_number": "516-288-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PRINCETOWN RD STE 1",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123069766",
            "telephone_number": "518-355-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTTERDAM FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-288-5495",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.