Individual provider Active NPI

Andrew S. Rozanski, DMD

  • Dentist
  • New Hartford, NY
National Provider Identifier
1730529215
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057350-1 Issued in NY
Practice address
1 Paris Rd
New Hartford, NY 13413-2476
Phone
(315) 732-1981
Fax
(315) 724-5063
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057350-1 NY Primary

Addresses

Primary practice location

1 Paris Rd
New Hartford, NY 13413-2476

Mailing address

1 Paris Rd
New Hartford, NY 13413-2476
Phone (315) 732-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000950 NY Order and Referring Only - DentistPractitioner - Dentist 5799086245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057350-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rozanski Family Dentistry, PLLC Current Accepting new patients
Andrew S. Rozanski, D.M.D. Current Accepting new patients

Locations

1 Paris Rd
New Hartford, NY 13413
Phone (315) 732-1981

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1730529215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132476",
            "telephone_number": "315-732-1981",
            "fax_number": "315-724-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132476",
            "telephone_number": "315-732-1981",
            "fax_number": "315-724-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZANSKI",
        "first_name": "ANDREW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.