Organization Active NPI

Roslyn Dental, PLLC

  • General Practice Dentistry
  • Roslyn Heights, NY
National Provider Identifier
1770678237
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045662 Issued in NY
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

Updated by the provider on Mar 6, 2012

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.NPI 1851643787
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.