Individual provider Active NPI

Steven Wills Albert, D.M.D.

  • Dentist
  • Washingtonville, NY
National Provider Identifier
1972854776
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056420 Issued in NY
Practice address
28 Brotherhood Plaza Dr
Washingtonville, NY 10992-2272
Phone
(845) 477-1447
NPI assigned
Sep 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056420 NY Primary

Addresses

Primary practice location

28 Brotherhood Plaza Dr
Washingtonville, NY 10992-2272

Mailing address

28 Brotherhood Plaza Dr
Washingtonville, NY 10992-2272
Phone (845) 477-1447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707001421 NY Order and Referring Only - DentistPractitioner - Dentist 0547572448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Sleep Solutions Dentist CurrentSince Aug 15, 2021 Accepting new patients
Northeast Sleep Solutions Dentist Current Accepting new patients
Northeast Sleep Solutions LLC Dentist Current Accepting new patients
Thompson Town Dental PLLC Past Accepting new patients

Locations

28 Brotherhood Plaza Dr
Washingtonville, NY 10992
Phone (845) 477-1447

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1972854776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BROTHERHOOD PLAZA DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922272",
            "telephone_number": "845-477-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BROTHERHOOD PLAZA DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922272",
            "telephone_number": "845-477-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "STEVEN",
        "middle_name": "WILLS",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washingtonville, NY

Sources for this page

Verify at the official NPI Registry.