Organization Active NPI

Rockland County Dental Services

  • General Practice Dentistry
  • Spring Valley, NY
National Provider Identifier
1679735823
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047222 Issued in NY
Legal business name
ROCKLAND COUNTY DENTAL SERVICES
Practice address
2 Perlman Dr
Suite 105
Spring Valley, NY 10977-5245
Phone
(845) 356-8844
Fax
(845) 356-6060
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Joseph Fertucci
Title
President
Phone
(845) 356-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 047222 NY Primary

Addresses

Primary practice location

2 Perlman Dr
Suite 105
Spring Valley, NY 10977-5245

Mailing address

2 Perlman Dr
Suite 105
Spring Valley, NY 10977-5245
Phone (845) 356-8844

National Provider Directory

National Provider Directory

Locations

2 Perlman Dr
Ste 105
Spring Valley, NY 10977
Phone (845) 356-8844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1679735823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PERLMAN DR",
            "address_2": "SUITE 105",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775245",
            "telephone_number": "845-356-8844",
            "fax_number": "845-356-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PERLMAN DR",
            "address_2": "SUITE 105",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775245",
            "telephone_number": "845-356-8844",
            "fax_number": "845-356-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND COUNTY DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "FERTUCCI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-356-8844",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.