Organization Active NPI

Audubon Dental PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1609913805
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AUDUBON DENTAL PC
Practice address
550 W 180TH St
New York, NY 10033-5806
Phone
(212) 795-3486
Fax
(212) 543-3230
NPI assigned
Jan 30, 2007
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Mrs. Fior Beney Rodriguez, DDSNPI 1407993603
Title
President
Phone
(212) 795-3486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

550 W 180TH St
New York, NY 10033-5806

Mailing address

550 W 180TH St
New York, NY 10033-5806
Phone (212) 795-3486

Other identifiers 1

IdentifierTypeStateIssuer
01923922MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1609913805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 180TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335806",
            "telephone_number": "212-795-3486",
            "fax_number": "212-543-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 180TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335806",
            "telephone_number": "212-795-3486",
            "fax_number": "212-543-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FIOR",
        "authorized_official_middle_name": "BENEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-795-3486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01923922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.