Active NPI
Greenwich Oral and Maxillofacial Surgery Assoc.
- Oral and Maxillofacial Surgery (Dentist)
- Rye Brook, NY
National Provider Identifier
1730329301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 03318
- Legal business name
- GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC.
- Practice address
- 14 Rye Ridge Plaza
Suite 234
Rye Brook, NY 10573 - Phone
- (914) 253-9088
- Fax
- (914) 253-4925
- NPI assigned
- Feb 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Mark Brody, D.D.S.
- Title
- President
- Phone
- (914) 253-9088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 03318 | NY | Primary |
Addresses
Primary practice location
14 Rye Ridge Plaza
Suite 234
Rye Brook, NY 10573
Mailing address
14 Rye Ridge Plaza
Suite 234
Rye Brook, NY 10573
Phone (914) 253-9088
National Provider Directory
National Provider DirectoryLocations
14 Rye Ridge Plz
Ste 234
Rye Brook, NY 10573
Phone (914) 251-1070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266969600000",
"number": "1730329301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RYE RIDGE PLAZA",
"address_2": "SUITE 234",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-253-9088",
"fax_number": "914-253-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RYE RIDGE PLAZA",
"address_2": "SUITE 234",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-253-9088",
"fax_number": "914-253-4925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2010-02-24",
"status": "A",
"authorized_official_last_name": "BRODY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-253-9088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "03318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rye Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.