Organization Active NPI

Greenwich Oral and Maxillofacial Surgery Assoc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rye Brook, NY
National Provider Identifier
1730329301
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
03318 Issued in NY
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

Updated by the provider on Feb 24, 2010

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.