WALL STREET DENTAL CARE PC (NPI# 1699103853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699103853 |
| Entity Type | Organization |
| Organization Name | WALL STREET DENTAL CARE PC |
| Other Organization Name | NYC ORAL SURGERY |
| Practice Address |
111 Broadway Suite #1706 New York NY 10006-1901 |
| Mailing Address |
1040 1st Ave #393 New York NY 10022-2991 |
| Practice Telephone | 2122279555 |
| Practice Fax Number | 2122279557 |
| Mailing Telephone | 2122279555 |
| Mailing Fax Number | 2122279557 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | GARY NADLER (OWNER) |
| Authorized Official Telephone | 2122279555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
039376 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| NYC Oral Surgery | Doing Business As Name - Organization |
| Street Address |
111 BROADWAY SUITE #1706 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091166 | Bart Avrum Kummer | Internal Medicine | 111 Broadway, Fl 2, New York, NY 10006-1901 | 2005-05-31 |
| 1154946689 | Sky Dental, P.C. | Dentist | 111 Broadway, Suite 1304, New York, NY 10006 | 2020-06-10 |
| 1689237885 | John Mendiola Md Pllc | Clinic/Center | 111 Broadway, Suite 905, 9th Fl, New York, NY 10006 | 2019-04-15 |
| 1881112571 | Christy Hailey | Physical Therapist | 111 Broadway, New York, NY 10006-1901 | 2017-09-02 |
| 1831643857 | Kristin Grieg | Occupational Therapist | 111 Broadway, 3rd Floor, New York, NY 10006-1901 | 2016-08-08 |
| 1912366147 | Nyc Broadway Health LLC | Family Medicine | 111 Broadway, Suite 1303, New York, NY 10006-1901 | 2016-02-16 |
| 1144636507 | Sarah-kate Anderson Rems | Nurse Practitioner | 111 Broadway, 1302, New York, NY 10006-1901 | 2014-07-07 |
| 1902212764 | Audrey Hsin | Dentist | 111 Broadway, Suite 803, New York, NY 10006-1901 | 2014-07-01 |
| 1922423615 | Trinity Dental, P.C. | Clinic/Center | 111 Broadway, Suite 1707, New York, NY 10006-1901 | 2014-03-04 |
| 1982039129 | Costa Berkshire Group LLC | Internal Medicine | 111 Broadway, Suite 1302, New York, NY 10006-1901 | 2013-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
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| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| 1518527001 | Rachel Margaret George | Dentist | 400 E 67th St Apt 26c, New York, NY 10065-6340 | 2019-06-17 |
| 1134788706 | Nada Samra | Dentist | 1 River Pl Apt 1516, New York, NY 10036-4371 | 2019-06-07 |
| 1447729108 | Xiaoqian Ye | Dentist | 345 E 94th St Apt 8g, New York, NY 10128-5689 | 2018-11-24 |
| 1093283012 | Sae Rom Yoon | Dentist | 16 E 52nd St Ste 800, New York, NY 10022-5351 | 2018-11-07 |
| 1083189252 | Sound Dental Pllc | Dentist | 42 Lafayette St, New York, NY 10013-4043 | 2018-10-03 |
| 1871074450 | Chase Thompson | Dentist | 790 Riverside Dr Apt 2k, New York, NY 10032-7433 | 2018-08-22 |
| 1154807451 | Otto J Rodriguez | Dentist | 651 W 171st St Apt 27, New York, NY 10032-3025 | 2018-07-19 |
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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.