Rockland Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

056313 Issued in NY

Legal business name

ROCKLAND PERIODONTICS

Practice address

532 Route 304
New City, NY 10956-2925

Phone

(215) 485-8757

NPI assigned

Aug 7, 2014

Last updated

Aug 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Ma, DMDNPI 1477830362

Title

President

Phone

(215) 485-8757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Ma, DMD

  • Periodontics
  • Nanuet, NY
  • NPI 1477830362
  NPD (past) Authorized official

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1730598301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562925",
            "telephone_number": "215-485-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562925",
            "telephone_number": "215-485-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-485-8757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "056313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockland Housecalls
• Rockland Independent Living Center, Inc.
• Rockland Nemt LLC
• Rockland Ny Medical Services, P.C.
• Rockland Pediatric Dental, PC
• Gilbert Antonio Rodriguez, DC
• Ileana Rodriguez, PHD
• Lisette Rodriguez
• Patricia A. Rogers, LCSW
• Jenna Marie Rogoff, OTR/L

• Periodontics in New City, NY
• Providers in New City, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.