James McDonnell Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

50048803 Issued in NY

Legal business name

JAMES MCDONNELL INC

Practice address

532 Moe Rd
Clifton Park, NY 12065-3822

Phone

(518) 373-1181

Fax

(518) 348-6517

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David McGrath

Title

Office Manager

Phone

(518) 373-1181

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pediatric Dentistry of Clifton Park Doing business as

Locations

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1689836058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653822",
            "telephone_number": "518-373-1181",
            "fax_number": "518-348-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653822",
            "telephone_number": "518-373-1181",
            "fax_number": "518-348-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MCDONNELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-373-1181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "50048803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02937002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Clifton Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Ivy, MHC-LP
• Suzanne Izzo, COTA
• Carly L Jabonaski, MS CCC SLP
• Lisa Jackson, PH.D.
• James E. Galati, DDS, P.C.
• Janet Allwood, DDS, PC
• Majd Jauhary-Nayfeh, MS, RD, CDN
• Kimyah M Jean-Charles, LMHC
• JH Counseling Services LCSW PLLC
• Jodi L. Carson Nurse Practitioner in Psychiatry

• Pediatric Dentistry in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.