Individual provider Active NPI

Andrew Scott Deutch

  • Dentist
  • New York, NY
National Provider Identifier
1851616684
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055530 Issued in NY
Practice address
240 E 39TH St
7K
New York, NY 10016-7200
Phone
(516) 650-5172
NPI assigned
Apr 5, 2010
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 055530 NY Primary

Addresses

Primary practice location

240 E 39TH St
7K
New York, NY 10016-7200

Mailing address

240 E 39TH St
7K
New York, NY 10016-7200
Phone (516) 650-5172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503001084 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901105568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055530NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1851616684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 39TH ST",
            "address_2": "7K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167200",
            "telephone_number": "516-650-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 39TH ST",
            "address_2": "7K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167200",
            "telephone_number": "516-650-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTCH",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.