STUART SUPER (NPI# 1518028166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518028166 |
| Entity Type | Individual |
| Full Name | STUART SUPER |
| Credential | D.M.D. |
| Practice Address |
800a 5th Ave Suite 101 New York NY 10021-7215 |
| Mailing Address |
800a 5th Ave Suite101 New York NY 10021-7215 |
| Practice Telephone | 2127720300 |
| Practice Fax Number | 2125355270 |
| Mailing Telephone | 2127720300 |
| Mailing Fax Number | 2125355270 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
027779 | NY | Dental Providers |
| Street Address |
800A 5TH AVE SUITE 101 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427095223 | Vidya Valada Internal Medicine P.c | Internal Medicine | 800a 5th Ave, New York, NY 10021-7215 | 2006-06-01 |
| 1881178333 | Leah Corredora | Physician Assistant | 800a 5th Ave, Ste 300a, New York, NY 10065-7215 | 2018-09-20 |
| 1811449515 | Erin Nance Md | Orthopaedic Surgery | 800a 5th Ave, Suite 300, New York, NY 10065-7215 | 2016-10-28 |
| 1326595547 | W. Matthew White, Md, Pllc | Otolaryngology | 800a 5th Ave, Suite 202, New York, NY 10065-7215 | 2016-09-06 |
| 1114370715 | Luxurgery LLC | Plastic Surgery | 800a 5th Ave, New York, NY 10065-7215 | 2016-07-19 |
| 1619321916 | 5th Avenue Cosmetic Surgery Center | Clinic/Center | 800a 5th Ave, New York, NY 10065-7215 | 2016-04-22 |
| 1669826368 | Manhattan Cardiovascular Care | Internal Medicine | 800a 5th Ave, Suite #206, New York, NY 10065-7215 | 2016-04-19 |
| 1790150399 | Nance Md PC | Orthopaedic Surgery | 800a 5th Ave, Suite 300, New York, NY 10065-7215 | 2015-12-08 |
| 1285039354 | Sara E. Leso | Physician Assistant | 800a 5th Ave, Street Level, New York, NY 10065 | 2014-10-30 |
| 1952648206 | Aruna M. Seneviratne Md PC | Clinic/Center | 800a 5th Ave, Suite 300, New York, NY 10065-7215 | 2013-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124436134 | King Chong Chan | Dentist | 345 E 24th St Rm 837s, New York, NY 10010-4020 | 2014-07-23 |
| 1073647772 | Pasquale J Malpeso | Dentist | 563 Park Ave, New York, NY 10021-7314 | 2007-03-15 |
| 1447399340 | Robert Maimone | Dentist | 205 E 16th St Apt Ll, New York, NY 10003-3790 | 2007-02-06 |
| 1811082506 | David M. Blank | Dentist | 120 East 34th Street, Lobby, New York, NY 10016 | 2006-10-04 |
| 1275556425 | Mario Tuchman | Dentist | 353 Lexington Ave, Suite #700, New York, NY 10016-0941 | 2006-07-26 |
| 1760486377 | Angela Jiyeon Yoon | Dentist | 630 W 168th St, Ph 1562, New York, NY 10032-3702 | 2005-06-10 |
| 1134512171 | Scott Peters | Dentist | 630 W 168th St, New York, NY 10032 | 2015-03-16 |
| 1487067948 | Brandon Michael Veremis | Dentist | 1 Gustave L Levy Pl, Annenberg 15-26, New York, NY 10029-6574 | 2014-06-03 |
| 1295094670 | Aaron Edward Yancoskie | Dentist | 200 W 57th St, Suite 810, New York, NY 10019-3211 | 2012-05-07 |
| 1306088505 | David J. Zegarelli D.d.s. Pllc | Dentist | 200 Central Park S, Suite 105, New York, NY 10019-1436 | 2009-04-02 |
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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.