EAST 63RD STREET (NPI# 1811328297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811328297 |
| Entity Type | Organization |
| Organization Name | EAST 63RD STREET |
| Other Organization Name | ADVANCED ORAL SURGERY NYC |
| Practice Address |
250 E 63rd St New York NY 10065-7661 |
| Practice Telephone | 2126447009 |
| Mailing Telephone | 2126447009 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | BARUCH TETRI (DDS) |
| Authorized Official Telephone | 2127595363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
056681 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Oral Surgery NYC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAST 63RD STREET DENTAL P.C. | 250 East 63rd St., New York, New York 10065 |
| Washington State Corporations | EAST 63RD STREET, LLC | 901 E Main St, Auburn, WA 98002 |
| Street Address |
250 E 63RD ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-7661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622926 | Jill J Debiasi | Dentist | 250 E 63rd St, Suite A, New York, NY 10065-7661 | 2008-06-10 |
| 1952933996 | Dental Oggi Pllc | Dentist | 250 E 63rd St, New York, NY 10065-7661 | 2020-02-07 |
| 1992238869 | Annalise Mayerson Ms Ccc- Slp PC | Home Health | 250 E 63rd St, New York, NY 10065-7661 | 2017-04-07 |
| 1619352382 | Annalise Mayerson | Speech-Language Pathologist | 250 E 63rd St, Apt 205, New York, NY 10065-7661 | 2015-07-23 |
| 1972764280 | Cheryl A Tomasulo | Dentist | 250 E 63rd St, New York, NY 10065-7661 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1235541038 | Azaz Awan | Dentist | 335 Malcolm X Blvd, New York, NY 10027-3703 | 2014-05-28 |
| 1699196329 | Majid Jamali, Dmd, P.C. | Dentist | 42 Broadway Ste 1501, New York, NY 10004-1617 | 2013-12-24 |
| 1518268739 | Abdul Basit Karim | Dentist | 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 | 2010-11-04 |
| 1134356157 | Anayo Obi Adachie | Dentist | 10 Union Sq E Ste 5b, New York, NY 10003-3314 | 2009-06-17 |
| 1598991044 | Leslie Abraham | Dentist | 200 E 57th St, Apt 5j, New York, NY 10022-2860 | 2009-06-10 |
| 1316173537 | Jennifer Frangos | Dentist | 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 | 2009-06-02 |
| 1821223041 | Marcello Guglielmi | Dentist | 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 | 2009-05-18 |
| 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.