TRIBECA BROADWAY DENTAL CARE


Address: 291 Broadway, Suite 1105, New York, NY 10007-1814
Phone: 2126190971

TRIBECA BROADWAY DENTAL CARE (NPI# 1346661154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346661154
Entity Type Organization
Organization Name TRIBECA BROADWAY DENTAL CARE
Practice Address 291 Broadway
Suite 1105
New York
NY 10007-1814
Practice Telephone 2126190971
Mailing Telephone 2126190971
Enumeration Date 2013-12-20
Last Update Date 2013-12-20
Authorized Official Name DR. CARY JONH CUNNINGHAM (GENERAL DENTISTRY)
Authorized Official Telephone 2126190971
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 050825 NY Managed Care Organizations

Office Location

Street Address 291 BROADWAY
SUITE 1105
City NEW YORK
State NY
Zip Code 10007-1814

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1891145496 Sarah Lamcaj Psychologist 291 Broadway, Room 304, New York, NY 10007-1814 2016-06-15
1033587670 Leanne Bazzetta Social Worker 291 Broadway, Suite 1407, New York, NY 10007 2015-09-14
1417336355 Richard Spitzer Counselor 291 Broadway, New York, NY 10007-1814 2015-05-26
1114313822 Comprehensive Therapeutic Services Counselor 291 Broadway, New York, NY 10007-1814 2015-04-09
1134555899 Comprehensive Therapeutic Services Lcsw Community/Behavioral Health 291 Broadway, Suite 808, New York, NY 10007-1814 2013-09-25
1104105550 Marilynn Ono Elias Social Worker 291 Broadway, New York, NY 10007-1814 2011-08-16
1730467762 Sarah Perl Social Worker 291 Broadway, Suite 1401, New York, NY 10007-1814 2011-07-25
1437482361 Paolo Diamantini Social Worker 291 Broadway, Suite 1407, New York, NY 10007-1814 2009-09-10
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1255868634 Maya E Kunofsky Np Psychiatry PC Point of Service 1115 Broadway Fl 12, New York, NY 10010-3452 2017-05-17
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Competitor

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City NEW YORK
Zip Code 10007

Improve Information

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Dataset Information

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.

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