BRONX PARK DENTAL PC (NPI# 1770718504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770718504 |
| Entity Type | Organization |
| Organization Name | BRONX PARK DENTAL PC |
| Practice Address |
2016 Bronxdale Ave #303 Bronx NY 10462-3388 |
| Practice Telephone | 7187927972 |
| Practice Fax Number | 7187928311 |
| Mailing Telephone | 7187927972 |
| Mailing Fax Number | 7187928311 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | DR. DARA JEAN ROSENBERG (PRESIDENT) |
| Authorized Official Telephone | 7197927972 |
| Authorized Official Credential | DDS,MS.MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2016 BRONXDALE AVE #303 |
| City | BRONX |
| State | NY |
| Zip Code | 10462-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233790 | David Fagan | Pediatrics | 2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 | 2005-05-28 |
| 1316467723 | Md Rezaul Hoque | Internal Medicine | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2017-06-27 |
| 1568847952 | Union Community Health Center, Inc. | Clinic/Center | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2015-07-27 |
| 1992938534 | Sapna Prabhakaran | Pediatrics | 2016 Bronxdale Ave, Suite 203, Bronx, NY 10462-3388 | 2009-08-31 |
| 1669612966 | Marc Vital-herne Physician,p.c | Psychiatry & Neurology | 2016 Bronxdale Ave, Suite # 101, Bronx, NY 10462-3388 | 2009-02-26 |
| 1043410269 | Bronx Park Medical Surgical Associates PC | Surgery | 2016 Bronxdale Ave, Suite 202, Bronx, NY 10462-3388 | 2007-07-25 |
| 1104024116 | New York Urological Services, P.C. | Urology | 2016 Bronxdale Ave, Suite 202, Bronx, NY 10462-3388 | 2007-07-11 |
| 1053526509 | Bronx Park Rehabilitation & Sports Medicine PC | Specialist | 2016 Bronxdale Ave, Suite 101, Bronx, NY 10462-3388 | 2007-05-10 |
| 1528104825 | George J. Cisneros | Dentist | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2007-01-30 |
| 1376699702 | Stuart Remer, Md | Orthopaedic Surgery | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| 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 |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1568023331 | David A George | Dentist | 229 E 144th Street, Bronx, NY 10451 | 2019-06-24 |
| 1699268045 | Mariolys Tamayo | Dentist | 6299 Broadway Apt C11, Bronx, NY 10471-3177 | 2018-06-11 |
| 1316444664 | Sofia Kwak | Dentist | 805 Soundview Ave, Bronx, NY 10473-3900 | 2018-04-11 |
| 1033633466 | Bay Plaza Mall Dental Pllc | Dentist | 200 Baychester Ave Ste 311c, Bronx, NY 10475-4585 | 2017-07-27 |
| 1619401890 | Chantal Tavarez Monegro | Dentist | 1924 University Ave Apt 1b, Bronx, NY 10453-4413 | 2017-04-14 |
| 1770014011 | Aleksander Khasidov | Dentist | 1575 Blondell Ave Ste 150, Bronx, NY 10461-2661 | 2017-03-27 |
| 1710428594 | Riverdale Family Dentistry | Dentist | 3534 Riverdale Ave., Bronx, NY 10463 | 2017-03-14 |
| 1730559477 | Hospital | Dentist | 2466 Arthur Ave, Bronx, NY 10458-6004 | 2015-10-06 |
| 1629461678 | Mark Makiling | Dentist | 1911 21 Jerome Avenue, Bronx, NY 10453 | 2015-03-16 |
| Find all providers in BRONX | ||||
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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.