Individual provider Active NPI

Philip E Horowitz, DDS

  • General Practice Dentistry
  • Pearl River, NY
National Provider Identifier
1942400460
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
028214-3 Issued in NY
Practice address
300 N Middletown Rd
Suite 9
Pearl River, NY 10965-1262
Phone
(845) 735-4650
Fax
(845) 735-1904
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 028214-3 NY Primary

Addresses

Primary practice location

300 N Middletown Rd
Suite 9
Pearl River, NY 10965-1262

Mailing address

300 N Middletown Rd
Suite 9
Pearl River, NY 10965-1262
Phone (845) 735-4650

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

LicenseStateTypeSpecialty
028214-3NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1942400460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD",
            "address_2": "SUITE 9",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651262",
            "telephone_number": "845-735-4650",
            "fax_number": "845-735-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD",
            "address_2": "SUITE 9",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651262",
            "telephone_number": "845-735-4650",
            "fax_number": "845-735-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028214-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.