Organization Active NPI

Maurice Golberg, Alan Mintz, Larry Dover DDS, PC

  • Periodontics
  • New York, NY
National Provider Identifier
1649323031
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MAURICE GOLBERG, ALAN MINTZ, LARRY DOVER DDS, PC
Practice address
119 W 57TH St
Suite 415
New York, NY 10019-2303
Phone
(212) 757-1457
Fax
(212) 757-9209
NPI assigned
Jan 19, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Larry Dober, D.M.D.NPI 1346393758
Title
Dr
Phone
(212) 757-1457

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
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

119 W 57TH St
Suite 415
New York, NY 10019-2303

Mailing address

119 W 57TH St
Suite 415
New York, NY 10019-2303
Phone (212) 757-1457

National Provider Directory

National Provider Directory

Locations

119 W 57th St
Ste 415
New York, NY 10019
Phone (212) 757-1457

Practitioners & affiliated clinicians

Practitioners 2

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649323031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST",
            "address_2": "SUITE 415",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192303",
            "telephone_number": "212-757-1457",
            "fax_number": "212-757-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST",
            "address_2": "SUITE 415",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192303",
            "telephone_number": "212-757-1457",
            "fax_number": "212-757-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE GOLBERG, ALAN MINTZ, LARRY DOVER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DOBER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "212-757-1457",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 16, 2008; 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.