Active NPI
Roslyn Dental, PLLC
- General Practice Dentistry
- Roslyn Heights, NY
National Provider Identifier
1770678237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 045662
- Legal business name
- ROSLYN DENTAL, PLLC
- Practice address
- 70 Glen Cove Road
Suite 103
Roslyn Heights, NY 11577 - Phone
- (516) 621-3777
- NPI assigned
- Oct 3, 2006
- 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. Randi Gerstenblatt, D.M.D.
- Title
- Partner/Dentist
- Phone
- (516) 621-3777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 045662 | NY | Primary |
Addresses
Primary practice location
70 Glen Cove Road
Suite 103
Roslyn Heights, NY 11577
Mailing address
70 Glen Cove Road
Suite 103
Roslyn Heights, NY 11577
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Dentist
- Roslyn Heights, NY
- NPI 1851643787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1770678237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 GLEN COVE ROAD",
"address_2": "SUITE 103",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "11577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 GLEN COVE ROAD",
"address_2": "SUITE 103",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "11577",
"telephone_number": "516-621-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSLYN DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "GERSTENBLATT",
"authorized_official_first_name": "RANDI",
"authorized_official_title_or_position": "PARTNER/DENTIST",
"authorized_official_telephone_number": "516-621-3777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "045662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.