Organization Active NPI

Vered Maslavi, DDS, PC

  • Pediatric Dentistry
  • Bayside, NY
National Provider Identifier
1013132554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
049740 Issued in NY
Legal business name
VERED MASLAVI, DDS, PC
Practice address
4505 Francis Lewis Blvd
Bayside, NY 11361-3042
Phone
(718) 279-0900
Fax
(718) 279-0929
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vered Maslavi, DDS
Title
Pediatric Dentist
Phone
(718) 279-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 049740 NY Primary

Addresses

Primary practice location

4505 Francis Lewis Blvd
Bayside, NY 11361-3042

Mailing address

4505 Francis Lewis Blvd
Bayside, NY 11361-3042
Phone (718) 279-0900

Other identifiers 2

IdentifierTypeStateIssuer
02524963OtherNYMEDICAID ID NUMBER
9176784OtherNYDORAL ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Vered Maslavi DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013132554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613042",
            "telephone_number": "718-279-0900",
            "fax_number": "718-279-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613042",
            "telephone_number": "718-279-0900",
            "fax_number": "718-279-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERED MASLAVI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASLAVI",
        "authorized_official_first_name": "VERED",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "718-279-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ID NUMBER",
            "identifier": "02524963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL ID NUMBER",
            "identifier": "9176784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.