Kenneth Madoff,D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

024995 Issued in NY

Legal business name

KENNETH MADOFF,D.D.S.,P.C.

Practice address

275 North St
Newburgh, NY 12550-3143

Phone

(845) 561-2494

Fax

(845) 561-0681

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Nmi Madoff, D.D.S.

Title

President

Phone

(845) 561-2494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912912320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ASHLEY DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501420",
            "telephone_number": "845-561-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503143",
            "telephone_number": "845-561-2494",
            "fax_number": "845-561-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH MADOFF,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADOFF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-561-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "024995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hannon
• Emily Kelly
• Linda Kelly, RN
• Rebecca N Kelly, M.S.ED CCC-SLP
• Yvanna Dell Kenan, PHARMD
• Erin-Marie Kernan-Hobart, FNP
• Melanie Kerr, RN
• Alexandra Precious Keyes-Medranda, MSW
• Roaa Khair, MBBS
• Zarah Khalid, RN

• General Practice Dentistry in Newburgh, NY
• Providers in Newburgh, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.