Organization Active NPI

Metrotech Dental P.C

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1003073727
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045344 Issued in NY
Legal business name
METROTECH DENTAL P.C
Practice address
350 Fulton St
Brooklyn, NY 11201-5137
Phone
(718) 488-8585
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rima Roy
Title
Manager
Phone
(718) 488-8585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 045344 NY Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 052357 NY

Addresses

Primary practice location

350 Fulton St
Brooklyn, NY 11201-5137

Mailing address

350 Fulton St
Brooklyn, NY 11201-5137
Phone (718) 488-8585

Other identifiers 1

IdentifierTypeStateIssuer
02368409MedicaidNY

National Provider Directory

National Provider Directory

Locations

350 Fulton St
Brooklyn, NY 11201
Phone (718) 875-1144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1003073727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015137",
            "telephone_number": "718-488-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015137",
            "telephone_number": "718-488-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROTECH DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-488-8585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045344",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02368409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.