Roger Alan Bronstein, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

NY DO32820 Issued in NY

Practice address

150 West 58TH St
Suite 1-C
Ny, NY 10019

Phone

(212) 246-3486

Fax

(212) 974-8356

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891705380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WEST 58TH ST",
            "address_2": "SUITE 1-C",
            "city": "NY",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-246-3486",
            "fax_number": "212-974-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST 58TH ST",
            "address_2": "SUITE 1-C",
            "city": "NY",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-246-3486",
            "fax_number": "212-974-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSTEIN",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "NY DO32820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Luisa Brathwaite, CMN
• Kristina Ann Brielmaier, F.N.P
• Rebecca Cecile Brightman, MD
• Anne-Marie Beluang Brillantes, M.D.
• Cindy Brody, PHD
• Elisa Brunelle, PSY.D.
• Bryan M. Elzholz M.D., P.C.
• Sheila Marie Buchanan, CPNP
• Emily Buchholtz, RD, CDN
• Ronald M Cahn, P.T.

• Periodontics in Ny, NY
• Providers in Ny, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.