Dwayne M. Bodie, Dmd, PC
Dwayne M. Bodie, Dmd, PC is a healthcare organization registered as General Practice Dentistry in Nyack, NY, holding Type 2 (organization) NPI 1619101839 since 2009. The authorized official on file is Dwayne Bodie, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619101839 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dwayne M. Bodie, Dmd, PC |
| Practice address | 311 N MIDLAND AVE, Nyack, NY, 10960 |
| Phone | 8453585110 |
| Fax | 8453586740 |
| Enumeration date | 2009-05-04 |
| Last updated in NPPES | 2009-05-04 |
Authorized official
| Name | Dwayne Bodie |
|---|---|
| Title | Ceo/President |
| Phone | 8453585110 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 053605 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02982507 | Medicaid | NY | — |
Copy-ready billing details
Provider: Dwayne M. Bodie, Dmd, PC NPI: 1619101839 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 311 N MIDLAND AVE, Nyack, NY, 10960
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639270788 | Kenneth Zatz | Individual | Pediatrics Physician | Nyack, NY |
| 1528131232 | Maureen Cooney | Individual | Pediatric Adolescent Medicine Physician | Nyack, NY |
| 1316083314 | Kenneth H. Zatz, MD, PC | Organization | Pediatrics Physician | Nyack, NY |
| 1477692440 | Lawrence Glassman | Individual | Specialist | Nyack, NY |
| 1902022833 | Robert Stine | Individual | Psychiatry Physician | Nyack, NY |
| 1922261759 | Ahmadur Rahman | Individual | Internal Medicine Physician | Nyack, NY |
| 1043475486 | Azfar Chak | Individual | Internal Medicine Physician | Nyack, NY |
| 1023273380 | Gerald Ancheta | Individual | Infectious Disease Physician | Nyack, NY |
Verify this record
Cross-check NPI 1619101839 against the authoritative CMS record: view Dwayne M. Bodie, Dmd, PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Dwayne M. Bodie, Dmd, PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-05-04.