Active NPI
Mel Steven Citrin, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- New City, NY
National Provider Identifier
1902879422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 028293
- Practice address
- 500 New Hempstead Rd
New City, NY 10956-1132 - Phone
- (845) 362-0083
- Fax
- (845) 362-9657
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 028293 | NY | Primary |
Addresses
Primary practice location
500 New Hempstead Rd
New City, NY 10956-1132
Mailing address
6 Chippewa CT
Suffern, NY 10901-4111
Phone (845) 368-4203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028293 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902879422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CHIPPEWA CT",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014111",
"telephone_number": "845-368-4203",
"fax_number": "845-362-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NEW HEMPSTEAD RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561132",
"telephone_number": "845-362-0083",
"fax_number": "845-362-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITRIN",
"first_name": "MEL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "028293",
"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 Jul 8, 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.