Organization Active NPI

Ajay Pal, Dentist P.C.

  • Dentist
  • Cortland, NY
National Provider Identifier
1003088097
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
034901 Issued in NY
Legal business name
AJAY PAL, DENTIST P.C.
Practice address
4281 N Homer Ave
Cortland, NY 13045-1018
Phone
(607) 753-1355
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Ms. Kristin Zado
Title
Office Manager
Phone
(607) 753-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 034901 NY Primary

Addresses

Primary practice location

4281 N Homer Ave
Cortland, NY 13045-1018

Mailing address

4281 N Homer Ave
Cortland, NY 13045-1018
Phone (607) 753-1355

Other identifiers 2

IdentifierTypeStateIssuer
1437176260OtherNYINDIV. NPI
00563942MedicaidNY

National Provider Directory

National Provider Directory

Locations

4281 N Homer Ave
Cortland, NY 13045
Phone (607) 753-1355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1003088097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 N HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451018",
            "telephone_number": "607-753-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 N HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451018",
            "telephone_number": "607-753-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJAY PAL, DENTIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ZADO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-753-1355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "034901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV. NPI",
            "identifier": "1437176260",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00563942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.