Roderick

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052771 Issued in NY

Legal business name

RODERICK

Practice address

254 E 4TH St
New York, NY 10009-7522

Phone

(212) 777-1969

NPI assigned

Jun 1, 2010

Last updated

Jun 1, 2010By 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. Roderick Aman LucenteNPI 1295857191

Title

Dentist

Phone

(212) 777-1969

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Roderick Aman Lucente

  • General Practice Dentistry
  • New York, NY
  • NPI 1295857191
  NPD (past) Authorized official

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1770803728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097522",
            "telephone_number": "212-777-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LUCENTE",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "AMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-777-1969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02771575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Roddy, M.D.
• Analise Rode, LMSW
• Diane Rode, MPS, CCLS, LCAT
• Kirsten Rodek
• Scott Rodeo, M.D.
• Anne Roderick, MSN PMHNP
• Russell Allen Rodewald, M.D.
• Christine Rodgers, MSED
• Elizabeth Bailey Rodgers, MD
• I Rand Rodgers, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.