Individual provider Active NPI

Ronald Tauber, DMD

  • Endodontics
  • Levittown, NY
National Provider Identifier
1861532814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
034974 Issued in NY
Practice address
64 Division Ave
Suite 200
Levittown, NY 11756-2999
Phone
(516) 796-6588
Fax
(516) 796-6749
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 034974 NY Primary

Addresses

Primary practice location

64 Division Ave
Suite 200
Levittown, NY 11756-2999

Mailing address

91 Reed Dr
Roslyn, NY 11576-3223

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
I20151216001592 NY Order and Referring Only - DentistPractitioner - Dentist 9638470628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sam T Malkin DDS, L.L.P. Past Accepting new patients
Levittown Dental Group PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861532814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 REED DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 DIVISION AVE",
            "address_2": "SUITE 200",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562999",
            "telephone_number": "516-796-6588",
            "fax_number": "516-796-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBER",
        "first_name": "RONALD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "034974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.