NPIMap

Organization Active NPI

Implant Reconstruction & General Dentistry of Rockland, PLLC

  • General Practice Dentistry
  • Suffern, NY
National Provider Identifier
1689771990
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046478 Issued in NY
Legal business name
IMPLANT RECONSTRUCTION & GENERAL DENTISTRY OF ROCKLAND, PLLC
Practice address
2 Executive Blvd
Suite #304
Suffern, NY 10901-4164
Phone
(845) 357-4100
Fax
(845) 357-4077
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Samuel Horowitz, D.D.S.
Title
Owner/ Dental Provider
Phone
(845) 357-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 046478 NY Primary

Addresses

Primary practice location

2 Executive Blvd
Suite #304
Suffern, NY 10901-4164

Mailing address

2 Executive Boulevard
Suite #304
Suffern, NY 10901
Phone (845) 357-4100

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1689771990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BOULEVARD",
            "address_2": "SUITE #304",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-357-4100",
            "fax_number": "845-357-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUITE #304",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-357-4100",
            "fax_number": "845-357-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT RECONSTRUCTION & GENERAL DENTISTRY OF ROCKLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/ DENTAL PROVIDER",
        "authorized_official_telephone_number": "845-357-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.