Organization Active NPI

Woodbury Family Dental, PLLC

  • Dentist
  • Monroe, NY
National Provider Identifier
1992249122
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045825 Issued in NY
Legal business name
WOODBURY FAMILY DENTAL, PLLC
Practice address
505 State Route 208
Suite 23
Monroe, NY 10950-1608
Phone
(845) 782-1800
Fax
(845) 782-3116
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Mrs. Cathy Lewis
Title
Office Manager
Phone
(845) 782-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 045825 NY Primary

Addresses

Primary practice location

505 State Route 208
Suite 23
Monroe, NY 10950-1608

Mailing address

505 State Route 208
Suite 23
Monroe, NY 10950-1608
Phone (845) 782-1800

National Provider Directory

National Provider Directory
Tax ID family
Woodbury Family Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

505 State Route 208
Ste 23
Monroe, NY 10950
Phone (845) 782-1800

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1992249122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 STATE ROUTE 208",
            "address_2": "SUITE 23",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501608",
            "telephone_number": "845-782-1800",
            "fax_number": "845-782-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 STATE ROUTE 208",
            "address_2": "SUITE 23",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501608",
            "telephone_number": "845-782-1800",
            "fax_number": "845-782-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-782-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.