AZITA K ELYADERANI (NPI# 1336400720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336400720 |
| Entity Type | Individual |
| Full Name | AZITA K ELYADERANI |
| Credential | D.M.D |
| Practice Address |
506 Malcolm X Blvd New York NY 10037-1802 |
| Mailing Address |
118 Hunter Dr Cranberry Twp PA 16066-7604 |
| Practice Telephone | 4129772288 |
| Mailing Telephone | 4129772288 |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9194 | AZ | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS038916 | PA | Dental Providers |
| Street Address |
506 MALCOLM X BLVD |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258195 | Daniel James Baker | Emergency Medicine | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2006-01-05 |
| 1194246983 | Sheldon Othneil Ferguson | Internal Medicine | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2017-06-30 |
| 1912437070 | David Benalcazar Almeida | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037 | 2017-06-12 |
| 1043662299 | Carlos Mares | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2016-07-11 |
| 1942652524 | Jeff Anucha | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2016-07-07 |
| 1790137537 | Fatima Jafri | General Acute Care Hospital | 506 Malcolm X Blvd, Harlem Hospital-depatment of Medicine, New York, NY 10037-1802 | 2016-07-05 |
| 1376907154 | Flora Lisa Williams | Physician Assistant | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2016-04-07 |
| 1669847778 | Jean Michelet Jeanty | Physician Assistant | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2015-12-01 |
| 1891170791 | Merina Dongol | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2015-07-21 |
| 1366820433 | Elma Hadzovic | Physician Assistant | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2015-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1649896416 | Adam M Nusblatt, Dmd PC | Dentist | 60 E 9th St Apt 206, New York, NY 10003-6403 | 2020-06-17 |
| 1265076186 | Om Dental Arts, Pllc | Dentist | 405 Lexington Ave Fl 54, New York, NY 10174-0002 | 2019-11-04 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1922640911 | Suite 229 Dental Pllc | Dentist | 150 Broadway Rm 1310, New York, NY 10038-4365 | 2019-10-11 |
| 1952950123 | Lumia Dental, Pllc | Dentist | 160 Broadway Rm 1004, New York, NY 10038-4213 | 2019-09-10 |
| 1013560838 | Julie Bai | Dentist | 139 Centre St Ste 306, New York, NY 10013-4554 | 2019-07-21 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1396301503 | Daria Vasilyeva | Dentist | 625 W 169th St Apt 51a, New York, NY 10032-0489 | 2019-05-13 |
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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.