SOFIA KWAK (NPI# 1316444664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316444664 |
| Entity Type | Individual |
| Full Name | SOFIA KWAK |
| Practice Address |
805 Soundview Ave Bronx NY 10473-3900 |
| Practice Telephone | 7186204200 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
22DI02767500 | NJ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
060802 | NY | Dental Providers |
| Street Address |
805 SOUNDVIEW AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10473-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868225 | Salome Anderson | Licensed Practical Nurse | 635 Kathhilll Avenue, Bronx, NY 10473 | 2019-12-19 |
| 1740704634 | Darnae Montgomery | Social Worker | 2001 Story Avenue Apt#2q, Bronx, NY 10473 | 2017-08-01 |
| 1285164889 | Exceptional Aba Services Inc. | Social Worker | 1809 Seward Ave, Bronx, NY 10473 | 2017-06-15 |
| 1306207600 | Dat Transportation Inc | Taxi | 650 Soundview Avenue, Bronx, NY 10473 | 2016-03-14 |
| 1568876688 | Yadira Salazar | Behavioral Analyst | 945 Underhill Ave Apt1010, Bronx, NY 10473 | 2014-06-17 |
| 1881023976 | Evette Onogwu | Licensed Practical Nurse | 1676 Seward Ave Apt3b, Bronx, NY 10473 | 2013-11-08 |
| 1265876155 | Starlight Ambulette | Non-emergency Medical Transport (VAN) | 2211 Turnbull Ave, Bronx, NY 10473 | 2013-04-22 |
| 1104164490 | Alexa Rosas | Speech-Language Pathologist | 920 Metcalf Ave Apt 14d, Bronx, NY 10473 | 2013-01-22 |
| 1063761567 | Wanda Santiago | Specialist | 1710 Lafayette Avenue, Apt 6h, Bronx, NY 10473 | 2012-08-30 |
| 1558693135 | Ebenezer Peprah | Dentist | 1850 Lafayette Avenue, , Apt#20g, Bronx, NY 10473 | 2010-02-05 |
| Find all providers in zip 10473 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1568023331 | David A George | Dentist | 229 E 144th Street, Bronx, NY 10451 | 2019-06-24 |
| 1699268045 | Mariolys Tamayo | Dentist | 6299 Broadway Apt C11, Bronx, NY 10471-3177 | 2018-06-11 |
| 1033633466 | Bay Plaza Mall Dental Pllc | Dentist | 200 Baychester Ave Ste 311c, Bronx, NY 10475-4585 | 2017-07-27 |
| 1619401890 | Chantal Tavarez Monegro | Dentist | 1924 University Ave Apt 1b, Bronx, NY 10453-4413 | 2017-04-14 |
| 1770014011 | Aleksander Khasidov | Dentist | 1575 Blondell Ave Ste 150, Bronx, NY 10461-2661 | 2017-03-27 |
| 1710428594 | Riverdale Family Dentistry | Dentist | 3534 Riverdale Ave., Bronx, NY 10463 | 2017-03-14 |
| 1730559477 | Hospital | Dentist | 2466 Arthur Ave, Bronx, NY 10458-6004 | 2015-10-06 |
| 1629461678 | Mark Makiling | Dentist | 1911 21 Jerome Avenue, Bronx, NY 10453 | 2015-03-16 |
| 1306239496 | Gabriella Nocerino | Dentist | 1608 Kennellworth Pl, Bronx, NY 10465-1012 | 2015-03-12 |
| Find all providers in BRONX | ||||
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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.