Mamaroneck Ave Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAMARONECK AVE DENTISTRY PC

Doing business as

Roshe Dental Group

Practice address

875 Mamaroneck Ave Ste 203
Mamaroneck, NY 10543-1976

Phone

(914) 437-7676

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By 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

Mrs. Melissa Cruz

Title

Manager

Phone

(914) 437-7676

Specialties & licenses 1

Addresses

Other names 1

• Roshe Dental Group Doing business as

Locations

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1811638927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE STE 203",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431976",
            "telephone_number": "914-437-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE STE 203",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431976",
            "telephone_number": "914-437-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMARONECK AVE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-437-7676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roshe Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deirdre E Madden, OT
• Brian Magee
• Nahid Shirazy Majd, MD
• Damon O'Brian Malcolm
• Kevin J Maloney, MD
• Mamaroneck Foot and Ankle Care LLC
• Mamaroneck Foot Care
• Mamaroneck Medical, PLLC
• Mamaroneck NP in Psychiatry PLLC
• Mamaroneck Public Schools

• Dental Clinic/Center in Mamaroneck, NY
• Providers in Mamaroneck, 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 Apr 5, 2022; 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.