NYU COLLEGE OF DENTISTRY (NPI# 1912123555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912123555 |
| Entity Type | Organization |
| Organization Name | NYU COLLEGE OF DENTISTRY |
| Other Organization Name | NYUFP OMFS |
| Practice Address |
421 1st Ave 2nd Floor New York NY 10010-4001 |
| Practice Telephone | 2129989439 |
| Practice Fax Number | 2129954843 |
| Mailing Telephone | 2129989439 |
| Mailing Fax Number | 2129954843 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FRANCIS V PANNO (ASSOC DEAN CLINICAL AFFAIRS) |
| Authorized Official Telephone | 2129989505 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
021314-2 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NYUFP OMFS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780804344 | Nyu College of Dentistry | Dentist | 726 Broadway, Suite 350, New York, NY 10003-9502 | 2007-04-26 |
| Street Address |
421 1ST AVE 2ND FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992863104 | Angie Kiwon Wu | Nurse Practitioner | 421 1st Ave, 2w, New York, NY 10010-4001 | 2006-12-04 |
| 1851946537 | Charles Bertolami | Dentist | 421 1st Ave, New York, NY 10010-4001 | 2019-08-08 |
| 1205322013 | Vishaul Anil Latchman | Dentist | 421 1st Ave, New York, NY 10010-4001 | 2018-07-03 |
| 1487048716 | New York University | Dental Hygienist | 421 1st Ave, New York, NY 10010-4001 | 2015-03-25 |
| 1578851440 | Patricia Miranda Corby | Dentist | 421 1st Ave, Nyu College of Dentistry-bccr, New York, NY 10010-4001 | 2011-07-13 |
| 1053543629 | Arnold R Pollikoff | Dentist | 421 1st Ave, New York, NY 10010-4001 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
| Find all providers in zip 10010 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1093807166 | Todd J Berman Dmd, PC | Clinic/Center | 307 E 49th St, New York, NY 10017-7306 | 2006-09-28 |
| 1073059283 | Yandresco Quintana Dds PC | Clinic/Center | 651 W 180th St, Suite 1, New York, NY 10033-4802 | 2017-01-11 |
| 1366803215 | New York University | Clinic/Center | 345 E 24th St, New York, NY 10010-4020 | 2016-03-18 |
| 1033580220 | Carnegie Oral & Maxillofacial Surgery, Pllc | Clinic/Center | 200 W 57th St, Suite 804, New York, NY 10019-3211 | 2015-10-13 |
| 1811153216 | A.l. Del Valle, P.C. | Clinic/Center | 135 E 50th St, Apt 5e, New York, NY 10022-7504 | 2008-08-05 |
| 1689837130 | Alex M. Greenberg, Dds PC | Clinic/Center | 18 E 48th St, Suite 1702, New York, NY 10017-1014 | 2008-07-04 |
| 1922170356 | Dr.jerome T. Friedman | Clinic/Center | 800a 5th Ave, Suite 403, New York, NY 10021-7215 | 2006-11-14 |
| 1538158746 | James Y. Su, D.d.s., P.C. | Clinic/Center | 601 W 181st St, Suite 24, New York, NY 10033-4914 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659479 | Sioms Forest Hills Management LLC | Clinic/Center | 7009 Austin St Ste 201, Forest Hills, NY 11375-1012 | 2020-01-27 |
| 1992205801 | Seth T Farren Dds Oral and Maxillofacial Surgery Pllc | Clinic/Center | 100 Great Oaks Blvd Ste 112, Albany, NY 12203-7924 | 2018-02-16 |
| 1790224756 | Avichai Stern Dds Pllc | Clinic/Center | 161 Havemeyer St, Suite 2, Brooklyn, NY 11211-5534 | 2017-02-22 |
| 1699055285 | Advanced Implant and Oral Surgery P.C. | Clinic/Center | 17 Walt Whitman Rd Ste 3, Huntington Station, NY 11746-3610 | 2011-08-26 |
| 1962622332 | Greg J Panossian Dds Pllc | Clinic/Center | 5240 Merrick Rd Ste 1, Massapequa, NY 11758-6207 | 2007-04-26 |
| 1740781665 | Giovanni Boiano Dds PC | Clinic/Center | 300 Main St, Eastchester, NY 10709-2916 | 2018-02-26 |
| 1386172104 | Lynn Pierri Dds Ms Pllc | Clinic/Center | 400 Townline Rd Ste 135, Hauppauge, NY 11788-2835 | 2017-05-24 |
| 1881146785 | Dd Pitcher LLC | Clinic/Center | 30 Office Park Way, Pittsford, NY 14534-1734 | 2016-10-27 |
| 1467812834 | Dr Michael E Lessin | Clinic/Center | 27005 76th Ave, Department of Dental Medicine, New Hyde Park, NY 11040-1402 | 2016-02-29 |
| 1942669387 | Brooklyn Oral Surgery & Implant Center | Clinic/Center | 1512 Avenue Z, Brooklyn, NY 11235-3808 | 2016-02-13 |
| Find all providers with the same taxonomy | ||||
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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.