Ross I Bederman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

046146 Issued in NY

Practice address

201 Forest Ave
Glen Cove Dental Service PC
Glen Cove, NY 11542

Phone

(516) 609-0800

Fax

(516) 609-9611

NPI assigned

Feb 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Front St Dental Services PC Dr Ross Bederman

  • Dentist
  • East Meadow, NY
  • NPI 1649307083
  NPD (past) Authorized official
• Glen Cove Dental Services PC Ross Bederman DDS

  • Dentist
  • Glen Cove, NY
  • NPI 1598892127
  NPD (past) Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1942573704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 FRONT ST",
            "address_2": "FRONT ST DENAL SERVICES P.C.",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-794-0050",
            "fax_number": "516-794-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "address_2": "GLEN COVE DENTAL SERVICE PC",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-609-0800",
            "fax_number": "516-609-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDERMAN",
        "first_name": "ROSS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Patricia Basdavanos, CCC-SLP
• Gurbhushan Singh Basra, M.D.
• Allan Batoy, ANP
• Susan Bauman
• Samantha Rose Bautista, LMHC
• Valentina Bedoya, MD
• Jessica Belkin, OTR/L
• Sergei Belkin, MD
• Christine Bell, CAT
• Ralph Bellocco, PHARM.D.

• Dentist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.