WESTSIDE DENTIST, P.C. (NPI# 1346640190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346640190 |
| Entity Type | Organization |
| Organization Name | WESTSIDE DENTIST, P.C. |
| Practice Address |
57 W 58th St Suite 2c New York NY 10019-1630 |
| Practice Telephone | 2122475050 |
| Practice Fax Number | 2125813596 |
| Mailing Telephone | 2122475050 |
| Mailing Fax Number | 2125813596 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | DR. ANNA BARANTSEVICH (PRESIDENT) |
| Authorized Official Telephone | 2122475050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
046914 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WESTSIDE DENTIST, P.C. | 162 W 56th St, Suite 304, New York, New York 10019 |
| Street Address |
57 W 58TH ST SUITE 2C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225058142 | Cecile Declaro Pestano | Dentist | 57 W 58th St, Suite 1, 2nd Floor, New York, NY 10019-1630 | 2006-07-21 |
| 1104030832 | Paul James Siu | Dentist | 57 W 58th St, New York, NY 10019-1630 | 2007-05-10 |
| 1811013162 | Stephen P Tympanick | Dentist | 57 W 58th St, Suite 1, New York, NY 10019-1630 | 2007-03-21 |
| 1720129661 | Mikhail Roel Seguritan | Dentist | 57 W 58th St, 2, New York, NY 10019-1630 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| 1992330641 | Modern Dental of Manhattan PC | Clinic/Center | 425 Madison Ave Rm 500, New York, NY 10017-1170 | 2020-03-03 |
| 1801429840 | Les Dental Group PC | Clinic/Center | 62 Rivington St Ste 1a-d, New York, NY 10002-2140 | 2020-02-18 |
| 1649801432 | Chavez Dds PC | Clinic/Center | 1037 2nd Ave, New York, NY 10022-4024 | 2020-01-30 |
| 1215574868 | Hudson Street Dental Associates, LLP | Clinic/Center | 315 Hudson St Lbby 1, New York, NY 10013-1009 | 2019-12-03 |
| 1043854565 | Nadia Rodriguez Dmd, Pllc | Clinic/Center | 140 W 58th St Ste 6, New York, NY 10019-2120 | 2019-10-29 |
| 1720621147 | Robert Cleary Dds PC | Clinic/Center | 25 W 45th St Ste 1407, New York, NY 10036-4902 | 2019-10-18 |
| 1801440706 | Smiling Buddha Dental Pllc | Clinic/Center | 30 Central Park S Rm 13c, New York, NY 10019-1646 | 2019-07-29 |
| 1699246777 | Smile Design Dental Studio Pllc | Clinic/Center | 320 E 53rd St Ste 1a, New York, NY 10022-5298 | 2018-12-16 |
| 1477037539 | All Smiles Dental On 12th Corp | Clinic/Center | 59 W 12th St Apt 1c, New York, NY 10011-8520 | 2018-09-24 |
| Find all providers in NEW YORK | ||||
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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.