J. WARD FITZPATRICK DDS (NPI# 1720331036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720331036 |
| Entity Type | Organization |
| Organization Name | J. WARD FITZPATRICK DDS |
| Practice Address |
123 Pike St Port Jervis NY 12771-1824 |
| Practice Telephone | 8458563311 |
| Practice Fax Number | 8458565389 |
| Mailing Telephone | 8458563311 |
| Mailing Fax Number | 8458565389 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | DR. WARD FITZPATRICK (OWNER) |
| Authorized Official Telephone | 5702833300 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
123 PIKE ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586099 | Henry R Goldstein | Ophthalmology | 123 Pike St, Suite 201, Port Jervis, NY 12771-1824 | 2005-08-23 |
| 1659917441 | Ryan Case | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2019-11-27 |
| 1316440639 | Jeffrey David Seyer | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2018-03-13 |
| 1689129694 | Alice Smith | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-08-19 |
| 1891147096 | Amado Valdes | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-07-12 |
| 1427409119 | Yasu Caballero | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-06-24 |
| 1114389095 | George Rumsey | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-03-22 |
| 1396172284 | Kcd Hearing,llc | Hearing Aid Equipment | 123 Pike St, Port Jervis, NY 12771-1824 | 2013-10-09 |
| 1033416110 | Henry R Goldstein Md PC | Ophthalmology | 123 Pike St, Port Jervis, NY 12771-1824 | 2011-02-25 |
| 1124277108 | Hillside Health Medical Practice, P.C. | Pediatrics | 123 Pike St, Suite 209, Port Jervis, NY 12771-1824 | 2008-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
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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.