Organization Active NPI

Rose Hill Dental PLLC

  • Dental Clinic/Center
  • Hewlett, NY
National Provider Identifier
1588945216
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
043726 Issued in NY
Legal business name
ROSE HILL DENTAL PLLC
Practice address
1575 Broadway
Hewlett, NY 11557
Phone
(516) 764-3062
Fax
(516) 764-0266
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Andrea J Botar, DDS
Title
Member
Phone
(516) 764-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 043726 NY Primary

Addresses

Primary practice location

1575 Broadway
Hewlett, NY 11557

Mailing address

1575 Broadway
Hewlett, NY 11557-1457
Phone (516) 764-3062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1588945216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571457",
            "telephone_number": "516-764-3062",
            "fax_number": "516-764-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "11557",
            "telephone_number": "516-764-3062",
            "fax_number": "516-764-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HILL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "BOTAR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-764-3062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "043726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.