DR. EDA ELLIS DENTAL PC (NPI# 1427582147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427582147 |
| Entity Type | Organization |
| Organization Name | DR. EDA ELLIS DENTAL PC |
| Practice Address |
30 Central Park S Suite 7a New York NY 10019-1628 |
| Practice Telephone | 2127531119 |
| Practice Fax Number | 2127531139 |
| Mailing Telephone | 2127531119 |
| Mailing Fax Number | 2127531139 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | EDA ELLIS (OWNER) |
| Authorized Official Telephone | 2127531119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
30 CENTRAL PARK S SUITE 7A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728196 | Gail Ellen Schupak | Dentist | 30 Central Park S, Suite 6c, New York, NY 10019-1628 | 2005-05-23 |
| 1184079477 | Central Park Dental Spa | Clinic/Center | 30 Central Park S, 7a, New York, NY 10019-1628 | 2016-04-25 |
| 1316316649 | Janash Dental Services | Dentist | 30 Central Park S, Suite #13c, New York, NY 10019-1628 | 2015-09-16 |
| 1982000378 | Beaute Des Arts | Clinic/Center | 30 Central Park S, Suite 1 C/d, New York, NY 10019-1628 | 2014-11-12 |
| 1316356041 | Danamarie Belpulsi Md | Specialist/Technologist, Other | 30 Central Park S, Suite 1 C-d, New York, NY 10019-1628 | 2014-08-06 |
| 1558777169 | Lauren Maxime Feldman | Dentist | 30 Central Park S, Suites 2b and 2c, New York, NY 10019-1628 | 2014-07-02 |
| 1821411000 | Center for Dental Implants LLC | Dentist | 30 Central Park S, Suite 11d, New York, NY 10019-1628 | 2014-01-24 |
| 1629409131 | S. Lawrence Simon | Dentist | 30 Central Park S, Suite 10- D, New York, NY 10019-1628 | 2013-12-09 |
| 1437583291 | S. Lawrence Simon, D.d.s., P.C. | Dentist | 30 Central Park S, Suite 10-d, New York, NY 10019-1628 | 2013-08-29 |
| 1912249103 | Michael Bral | Dentist | 30 Central Park S, 6a, New York, NY 10019-1628 | 2013-03-26 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 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.