Active NPI
Patricia Larosiliere, DMD
- Pediatric Dentistry
- Brooklyn, NY
National Provider Identifier
1831624261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 060010
- Practice address
- Sunset Park Family Health Center at NYU Langone
150 55TH Street
Brooklyn, NY 11220 - Phone
- (718) 630-8419
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 060010 | NY | Primary |
Addresses
Primary practice location
Sunset Park Family Health Center at NYU Langone
150 55TH Street
Brooklyn, NY 11220
Mailing address
202 8TH St Apt 8C
Brooklyn, NY 11215-3851
Phone (845) 520-0964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060010 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1831624261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 8TH ST APT 8C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153851",
"telephone_number": "845-520-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNSET PARK FAMILY HEALTH CENTER AT NYU LANGONE",
"address_2": "150 55TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11220",
"telephone_number": "718-630-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSILIERE",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "060010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.