Individual provider Active NPI

Pamela E Ledig, D.M.D.

  • Dentist
  • New Rochelle, NY
National Provider Identifier
1710240619
Registry record updated Jun 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056016 Issued in NY
Practice address
110 Lockwood Ave
Suite 201
New Rochelle, NY 10801-5028
Phone
(914) 636-3738
NPI assigned
Jun 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056016 NY Primary
Dentist 122300000X 22DI02392200 NJ

Addresses

Primary practice location

110 Lockwood Ave
Suite 201
New Rochelle, NY 10801-5028

Mailing address

22 Krueger CT
Newark, NJ 07103-3471
Phone (908) 565-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02392200NJMDDentist
056016NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1710240619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KRUEGER CT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033471",
            "telephone_number": "908-565-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LOCKWOOD AVE",
            "address_2": "SUITE 201",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015028",
            "telephone_number": "914-636-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDIG",
        "first_name": "PAMELA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056016",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02392200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2012; 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.