Individual provider Active NPI

Isaac Chinitz

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hawthorne, NY
National Provider Identifier
1962051201
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
060472 Issued in NY
Practice address
19 Skyline Dr
Hawthorne, NY 10532-2134
Phone
(914) 594-2700
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 060472 NY Primary

Addresses

Primary practice location

19 Skyline Dr
Hawthorne, NY 10532-2134

Mailing address

12 Chatham Rd
New Rochelle, NY 10804-2514
Phone (914) 714-3910

Other practice location 1

1401 Route 300 Ste 1080
Newburgh, NY 12550-2991
Phone (845) 234-4545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isaac.chinitz@touro.edu Touro College

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
060472NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962051201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHATHAM RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042514",
            "telephone_number": "914-714-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SKYLINE DR",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322134",
            "telephone_number": "914-594-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Route 300 Ste 1080",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125502991",
            "country_code": "US",
            "telephone_number": "845-234-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINITZ",
        "first_name": "ISAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "060472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isaac.chinitz@touro.edu",
            "affiliation": "Y",
            "endpointDescription": "Touro Dental School Email Address",
            "affiliationName": "Touro College",
            "address_1": "19 Skyline Dr",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.