De Novo Health Treatment LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DE NOVO HEALTH TREATMENT LLC

Practice address

156 W 56TH St Ste 903
New York, NY 10019-3877

Phone

(212) 315-9800

Fax

(212) 246-8707

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Rawdin, DDSNPI 1265605828

Title

Owner

Phone

(212) 315-9800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Robert C Rawdin, D.D.S.

  • Prosthodontics
  • New York, NY
  • NPI 1265605828
  NPD Authorized official
• Andrew Koenigsberg, DDS

  • Dentist
  • New York, NY
  • NPI 1548515513
  NPD (past)
• Lee E Wexler, D.D.S.

  • Dentist
  • New York, NY
  • NPI 1720376437
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1699272328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193877",
            "telephone_number": "212-315-9800",
            "fax_number": "212-246-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193877",
            "telephone_number": "212-315-9800",
            "fax_number": "212-246-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE NOVO HEALTH TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "RAWDIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-315-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria H De Miguel, MD
• Polly De Mille, RN, ACSM-CEP
• Carlos Gustavo Vasconcelos De Moraes, MD
• Mailyn De Moya Cordero
• Natasha Marie De Novi
• Jonathan David De Olano, MD
• Tais Garcia De Oliveira Bertasi, MD
• Joellen Alves De Oliveira, FNP, -BC,-C
• Camila De Onis, LCSW
• Yvonne Aparecida De Paiva Buischi, DDS

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.