JACOBSON AND CHUBAK ENDODONTICS PLLC


Address: 200 W 57th St, Suite 810, New York, NY 10019-3211
Phone: 2127376112

JACOBSON AND CHUBAK ENDODONTICS PLLC (NPI# 1396140679) 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) 1396140679
Entity Type Organization
Organization Name JACOBSON AND CHUBAK ENDODONTICS PLLC
Practice Address 200 W 57th St
Suite 810
New York
NY 10019-3211
Practice Telephone 2127376112
Practice Fax Number 6467973999
Mailing Telephone 2127376112
Mailing Fax Number 6467973999
Enumeration Date 2014-10-28
Last Update Date 2016-01-31
Authorized Official Name DR. JOSHUA M CHUBAK (ENDODONTIST)
Authorized Official Telephone 2127376112
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
057585 NY Dental Providers
Y 1223E0200X Dentist
Specialization: Endodontics
056087 NY Dental Providers

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations JACOBSON AND CHUBAK ENDODONTICS PLLC 30 East 60th Street, Unit 608, New York, New York 10022

Office Location

Street Address 200 W 57TH ST
SUITE 810
City NEW YORK
State NY
Zip Code 10019-3211

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1033112974 Dominick Servedio Audiologist 200 W 57th St, Suite 910, New York, NY 10019-3211 2005-05-24
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1316319916 Benjamin Hamburger Psychologist 200 W 57th St, 603, New York, NY 10019-3211 2015-10-22
1558732495 New York Pain Consultants, LLC Physical Medicine & Rehabilitation 200 W 57th St, Suite 608, New York, NY 10019-3211 2015-10-19
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NPI Name Taxonomy Address Enumeration
1497391486 Central Park Gyn Obstetrics & Gynecology 233 W 58th Street, New York, NY 10019 2019-11-25
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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
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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
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031654 Harp Endodontics PC Dentist 121 E 60th St Apt 10a, New York, NY 10022-1198 2020-07-30
1245862325 Marie Milagros Mora Moreno Dentist 345 E 24th St Dept Of, New York, NY 10010-4020 2020-02-06
1407406218 Geoffrey Louis Sas Dentist 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 2019-09-13
1972086684 Steven Kyongmin Kim Dentist 209 E 56th St Frnt 1, New York, NY 10022 2018-09-09
1245757608 Mona Boside Dentist 630 W 168th St Ph 7, New York, NY 10032-3725 2017-08-26
1487108387 Mahua Bose Pillai Dentist 30 E 40th St Rm 506, New York, NY 10016-1235 2016-08-08
1174971279 Lorel E Burns Dentist 345 E 24th St # 407w, New York, NY 10010-4020 2016-05-31
1619353935 Kyungsik James Yang Dentist 121 E 60th St Apt 11a, New York, NY 10022-1198 2015-08-10
1467700435 Amy Smith Dentist 1441 3rd Ave, 6a, New York, NY 10028-1974 2012-08-24
1487933024 Hannah Han Dentist 119 W 57th St Ste 700, New York, NY 10019-2303 2011-08-14
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Competitor

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City NEW YORK
Zip Code 10019

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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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