Organization Active NPI

Clemente Orthodontics of New York PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New City, NY
National Provider Identifier
1932524188
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
029366 Issued in NY
Legal business name
CLEMENTE ORTHODONTICS OF NEW YORK PC
Practice address
603 Route 304
New City, NY 10956-2919
Phone
(845) 638-6646
Fax
(845) 638-6696
NPI assigned
Feb 25, 2014
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Ms. Gina Giannattasio
Title
Office Manager
Phone
(845) 638-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 029366 NY Primary

Addresses

Primary practice location

603 Route 304
New City, NY 10956-2919

Mailing address

603 Route 304
New City, NY 10956-2919
Phone (845) 638-6646

National Provider Directory

National Provider Directory

Locations

603 Route 304
New City, NY 10956
Phone (845) 622-6651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1932524188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562919",
            "telephone_number": "845-638-6646",
            "fax_number": "845-638-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562919",
            "telephone_number": "845-638-6646",
            "fax_number": "845-638-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTE ORTHODONTICS OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "GIANNATTASIO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-638-6646",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "029366",
            "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 Feb 25, 2014; 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.