Madison Avenue Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

035301 Issued in NY

Legal business name

MADISON AVENUE DENTISTRY, PLLC

Practice address

175 Madison Ave
New York, NY 10016-5106

Phone

(212) 532-2000

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Laurence E Fendrich

Title

Managing Member

Phone

(212) 532-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1801211370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165106",
            "telephone_number": "212-532-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165106",
            "telephone_number": "212-532-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "FENDRICH",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-532-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "035301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Audiology Associates
• Madison Ave Consulting
• Madison Ave Smiles Dental PC
• Madison Avenue Dental Care PLLC
• Madison Avenue Dental Studio
• Madison Avenue Emergency Medicine PC
• Madison Avenue Eye Care LTD.
• Madison Avenue Footcare, PC
• Madison Avenue Hearing LLC
• Madison Avenue MRI PC

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.