NPIMap

Organization Active NPI

Skrobola & Schlosser DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Middletown, NY
National Provider Identifier
1972620359
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
040174 Issued in NY
Legal business name
SKROBOLA & SCHLOSSER DDS PC
Practice address
180 Wisner Ave
Middletown, NY 10940-3221
Phone
(845) 342-1300
Fax
(845) 344-0013
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Michael G. Skrobola, DDS
Title
President
Phone
(845) 342-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 040174 NY Primary

Addresses

Primary practice location

180 Wisner Ave
Middletown, NY 10940-3221

Mailing address

180 Wisner Ave
Middletown, NY 10940-3221
Phone (845) 342-1300

Other names 1

  • DBA Bracesetters Doing business as

National Provider Directory

National Provider Directory

Locations

180 Wisner Ave
Middletown, NY 10940
Phone (845) 342-1300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1972620359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WISNER AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403221",
            "telephone_number": "845-342-1300",
            "fax_number": "845-344-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WISNER AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403221",
            "telephone_number": "845-342-1300",
            "fax_number": "845-344-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKROBOLA & SCHLOSSER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "SKROBOLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-342-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Bracesetters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.