Active NPI
Cynthia Ann Gilbert-Pattison, DMD
- Pediatric Dentistry
- Ridgewood, NJ
National Provider Identifier
1639391428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DI018921
- Practice address
- 195 S Maple Ave
Ridgewood, NJ 07450-5142 - Phone
- (201) 652-7020
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DI018921 | NJ | Primary |
Addresses
Primary practice location
195 S Maple Ave
Ridgewood, NJ 07450-5142
Mailing address
11 Country Club Rd
Tenafly, NJ 07670-2621
Phone (201) 567-6355
Other names 1
- Dr. Cynthia Ann Pattison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI018921 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639391428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 COUNTRY CLUB RD",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702621",
"telephone_number": "201-567-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074505142",
"telephone_number": "201-652-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT-PATTISON",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "DI018921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "PATTISON",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.