Organization Active NPI

Marci Mendola-Pitcher DDS LLC

Doing business as Rosen Pitcher Dental Group

  • Pediatric Dentistry
  • Pittsford, NY
National Provider Identifier
1568674182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MARCI MENDOLA-PITCHER DDS LLC
Doing business as
Rosen Pitcher Dental Group
Practice address
25 S Main St
Pittsford, NY 14534-1925
Phone
(585) 586-2222
Fax
(585) 381-4043
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marci Mendola-Pitcher, DDSNPI 1588701627
Title
Owner
Phone
(585) 586-2222

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

25 S Main St
Pittsford, NY 14534-1925

Mailing address

25 S Main St
Pittsford, NY 14534-1925
Phone (585) 586-2222

Other identifiers 2

IdentifierTypeStateIssuer
00450546MedicaidNY
02365942MedicaidNY

Other names 1

  • Rosen Pitcher Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

25 S Main St
Pittsford, NY 14534
Phone (585) 586-2222

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568674182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341925",
            "telephone_number": "585-586-2222",
            "fax_number": "585-381-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341925",
            "telephone_number": "585-586-2222",
            "fax_number": "585-381-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI MENDOLA-PITCHER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOLA-PITCHER",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-586-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00450546",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosen Pitcher Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.