NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jeffrey Theodore Fondak, D.D.S.

Prosthodontics in Carthage, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184730392

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Jeffrey Theodore Fondak
Credential D.D.S.
Sex Male
Practice address Carthage, NY, 13619
Enumeration date Aug 21, 2006
Last updated in NPPES Jul 8, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223P0700X Prosthodontics Dental Providers · License 033273 (NY) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
033273 Other NY DENTAL LICENSE
1342155 Other - UNITED CONCORDIA PROVIDER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Jeffrey Fondak?
Jeffrey Fondak is registered in NPPES with the primary taxonomy of Prosthodontics. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.