Randy Zultowsky DDS, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

055100 Issued in NY

Legal business name

RANDY ZULTOWSKY DDS, P.C.

Practice address

315 W 70TH St
New York, NY 10023-3504

Phone

(917) 952-5642

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Randy Zultowsky, DDS

Title

President

Phone

(917) 952-5642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upper West Side Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1780101212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 69TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234700",
            "telephone_number": "917-952-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233504",
            "telephone_number": "917-952-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY ZULTOWSKY DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "ZULTOWSKY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-952-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "055100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03530783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper West Side Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kee Randolph
• Paula Ann Randolph, M.D.
• Andrea Paula Menor Randrup, DNP, RN, FNP-BC
• Randy L. Levine, M.D., P.C.
• Randy P. Nolte, Psy.D., PLLC
• Siddhi Prasad Rane, PT, MS, CNC
• Amelia Arleony Ranelli, RN
• Elizabeth Jessica Ranelli, FNP
• Alexa Ranero
• Kevin B. Ranftle, L.C.S.W.

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.