Gerilynn Waldman, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

049399 Issued in NY

Practice address

75 Crystal Run Rd
Suite 235
Middletown, NY 10941-7000

Phone

(845) 458-8500

Fax

(845) 673-6518

NPI assigned

Jan 9, 2007

Sex

Female

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.

• Hudson Valley Pediatric Dental, PLLC

  • Pediatric Dentistry
  • Middletown, NY
  • NPI 1790143402
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1972652246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 235",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-458-8500",
            "fax_number": "845-673-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 235",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-458-8500",
            "fax_number": "845-673-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "GERILYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Waddell
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Karlin Dhariana Walcott, LMHC, CASAC
• Eric Scott Waldman, DMD
• Larry Waldman
• Michael E Waldman, MD
• Michael Joseph Waldron, D.D.S.
• Walgreen Co
• Walgreen Co

• Pediatric Dentistry in Middletown, NY
• Providers in Middletown, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.