MT. SINAI FAMILY DENTAL
NPI 1205047693
Dentist - Endodontics in Mount Sinai, NY

Active since May 25, 2007
5505 NESCONSET HWY, STE. 230, MOUNT SINAI, NY 11766(631) 331-8989(631) 331-7962 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mt. Sinai Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT. SINAI FAMILY DENTAL (NPI 1205047693) is a healthcare organization registered as an endodontics in Mount Sinai, New York and active in the NPI registry since May 2007. The organization lists Antoinette Derenzo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205047693
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameMT. SINAI FAMILY DENTAL
Location Address5505 NESCONSET HWY, STE. 230Mount Sinai, NY 11766-2037
Mailing Address5505 Nesconset Hwy, Ste. 230Mount Sinai, NY 11766-2037 · (631) 331-8989 · Fax (631) 331-7962
Fax(631) 331-7962
Organization SubpartNo
Authorized OfficialAntoinette DerenzoOffice Manager · (631) 331-8989
Enumeration DateMay 25, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1205047693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in NY · 047118
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 047078 (NY), 048342 (NY)
5505 NESCONSET HWY, Mount Sinai, NY 11766

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
5505 NESCONSET HWY
MOUNT SINAI, NY 11766
Nurse Practitioner (Psychiatric/Mental Health)
5505 NESCONSET HWY, SUITE 238
MOUNT SINAI, NY 11766
Nurse Practitioner (Family)
5505 NESCONSET HWY
MOUNT SINAI, NY 11766
Psychiatry & Neurology (Psychiatry)
5505 NESCONSET HWY
MOUNT SINAI, NY 11766
Dentist (General Practice)
5505 NESCONSET HWY, SUITE 230
MOUNT SINAI, NY 11766
Dentist (General Practice)
5505 NESCONSET HWY, STE. 230
MOUNT SINAI, NY 11766
Pediatrics
5505 NESCONSET HWY
MT SINAI, NY 11766
Registered Nurse (Pediatrics)
5505 NESCONSET HWY
MOUNT SINAI, NY 11766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mt. Sinai Family Dental's NPI number?

The NPI number for Mt. Sinai Family Dental is 1205047693. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is Mt. Sinai Family Dental located?

Mt. Sinai Family Dental is located at 5505 Nesconset Hwy Ste. 230, Mount Sinai, NY 11766. The listed phone number is (631) 331-8989.

What is Mt. Sinai Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Mt. Sinai Family Dental was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.