Active NPI
Maurice Golberg, Alan Mintz, Larry Dover DDS, PC
- Periodontics
- New York, NY
National Provider Identifier
1649323031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Dober, D.M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Periodontics
- New York, NY
- NPI 1346393758
-
- Periodontics
- New York, NY
- NPI 1609929009
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.