Organization Active NPI

Pediatric and Adolescent Dentistry of Rockland County, P.C.

  • Pediatric Dentistry
  • New City, NY
National Provider Identifier
1891981155
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC AND ADOLESCENT DENTISTRY OF ROCKLAND COUNTY, P.C.
Practice address
16 Squadron Blvd
Suite 101
New City, NY 10956-5259
Phone
(845) 634-3200
Fax
(845) 634-0686
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Fern E. Cytryn, D.D.S.NPI 1477749703
Title
President
Phone
(845) 634-3200

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

16 Squadron Blvd
Suite 101
New City, NY 10956-5259

Mailing address

16 Squadron Blvd
Suite 101
New City, NY 10956-5259
Phone (845) 634-3200

National Provider Directory

National Provider Directory

Locations

16 Squadron Blvd
Ste 101
New City, NY 10956
Phone (845) 634-3200

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": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1891981155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD",
            "address_2": "SUITE 101",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565259",
            "telephone_number": "845-634-3200",
            "fax_number": "845-634-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD",
            "address_2": "SUITE 101",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565259",
            "telephone_number": "845-634-3200",
            "fax_number": "845-634-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT DENTISTRY OF ROCKLAND COUNTY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CYTRYN",
        "authorized_official_first_name": "FERN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.