HUDSON RIVER ORTHODONTICS, PC (NPI# 1295068278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295068278 |
| Entity Type | Organization |
| Organization Name | HUDSON RIVER ORTHODONTICS, PC |
| Practice Address |
220 Riverside Blvd Dental Office New York NY 10069-1001 |
| Practice Telephone | 2125801140 |
| Practice Fax Number | 2129545583 |
| Mailing Telephone | 2125801140 |
| Mailing Fax Number | 2129545583 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Authorized Official Name | DR. SAJU MATHEW (OWNER/DOCTOR) |
| Authorized Official Telephone | 2125801140 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
050711 | NY | Dental Providers |
| Street Address |
220 RIVERSIDE BLVD DENTAL OFFICE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10069-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588753529 | Arman Roksar | Dentist | 220 Riverside Blvd, Ny Dental, New York, NY 10069-1001 | 2006-10-11 |
| 1922632314 | Happy Teeth Ny LLC | Dentist | 220 Riverside Blvd, New York, NY 10069-1001 | 2020-02-25 |
| 1083090724 | Lori Peyser- Wigmore | Social Worker | 220 Riverside Blvd, Apt 28c, New York, NY 10069-1001 | 2015-08-05 |
| 1972983476 | Francia N Brito | Occupational Therapist | 220 Riverside Blvd, Apt 5u, New York, NY 10069-1001 | 2015-06-01 |
| 1134569353 | Barbara J Farkas | Specialist | 220 Riverside Blvd, 3f, New York, NY 10069-1001 | 2013-07-02 |
| 1073836680 | James Carter Wernz | Internal Medicine | 220 Riverside Blvd, Apt 42b, New York, NY 10069-1001 | 2010-03-10 |
| 1376798744 | Meaningful Beginnings, Inc | Occupational Therapist | 220 Riverside Blvd, Apt 5u, New York, NY 10069-1001 | 2008-11-26 |
| 1932365905 | Shantanu Lal | Dentist | 220 Riverside Blvd, Happy Teeth Ny LLC, New York, NY 10069-1001 | 2008-07-30 |
| 1063686178 | Jeremy David Peyser | Dentist | 220 Riverside Blvd, New York, NY 10069-1001 | 2008-04-18 |
| 1841475696 | Open Sesame Dentistry LLC | Dentist | 220 Riverside Blvd, Ny Dental, New York, NY 10069-1001 | 2007-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245694405 | Wendy Sobelman | Social Worker | 180 Riverside Blvd #34c, New York, NY 10069 | 2016-04-13 |
| 1972843670 | Leslie A Lucas | Dentist | 120 Riverside Boulevard, # 5 J, New York, NY 10069 | 2013-02-18 |
| 1225239734 | Saju Mathew | Dentist | 220 Riverside Blvd (dental Office), Hudson River Orthodontics PC, New York, NY 10069 | 2007-05-30 |
| 1912427832 | Elizabeth Venzon | Registered Nurse | 200 Riverside Blvd, Apt 4i, New York, NY 10069 | 2017-06-21 |
| 1114376308 | Amanda Hassan | Speech-Language Pathologist | 140 Riverside Blvd, New York, NY 10069 | 2016-06-08 |
| 1699974733 | Alicia Guttman | Psychiatry & Neurology | 200 Riverside Blvd, Apt 32-a, New York, NY 10069 | 2007-07-17 |
| 1811357957 | Jasmine Mayers | Occupational Therapist | 470 W 62nd St, Apt 5e, New York, NY 10069-0001 | 2016-03-02 |
| 1912352048 | Kenji Fujitani | General Practice | 40 Riverside Blvd, New York, NY 10069-0103 | 2016-04-26 |
| 1386938520 | Hemita Patel Klose | Dentist | 60 Riverside Blvd, #2007, New York, NY 10069-0201 | 2011-06-06 |
| 1083211825 | Gabriella Davila Davila | Behavioral Analyst | 50 Riverside Blvd Apt 24b, New York, NY 10069-0252 | 2020-10-05 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1356999510 | Jin Sup Shin | Dentist | 133 E 58th St Ste 912, New York, NY 10022-1283 | 2019-08-30 |
| 1265095764 | Candid Michigan Pllc | Dentist | 41 Union Sq W Fl 2, New York, NY 10003-3235 | 2019-04-19 |
| 1699237149 | Joseph T Hung | Dentist | 630 5th Ave Ste 1812, New York, NY 10111-1876 | 2019-04-03 |
| 1265999411 | Asma Almaidhan | Dentist | 345 E 24th St # 6w, New York, NY 10010-4020 | 2019-02-25 |
| 1598221228 | Snk Orthodontics, Pllc | Dentist | 555 6th Ave, New York, NY 10011-2065 | 2019-02-19 |
| 1487131009 | South End Dental PC | Dentist | 375 S End Ave Ste 1b, New York, NY 10280-1014 | 2018-07-26 |
| 1669965679 | Elizabeth Eve | Dentist | 506 Lenox Ave Bldg K, New York, NY 10037-1802 | 2018-06-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.