NPIMap

Organization Active NPI

Cortlandt Manor Dental PC

  • Dentist
  • Cortlandt Manor, NY
National Provider Identifier
1881815140
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044208 Issued in NY
Legal business name
CORTLANDT MANOR DENTAL PC
Practice address
99 Locust Ave
Cortlandt Manor, NY 10567
Phone
(914) 737-5700
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Herbert B Wassey, DDSNPI 1376970913
Title
Owner President
Phone
(914) 737-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 044208 NY Primary

Addresses

Primary practice location

99 Locust Ave
Cortlandt Manor, NY 10567

Mailing address

99 Locust Ave
Cortlandt Manor, NY 10567
Phone (914) 737-5700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1881815140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LOCUST AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-737-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LOCUST AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-737-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLANDT MANOR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "WASSEY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "914-737-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.