Dentists on Madison Group Practice

Primary specialty

DentistTaxonomy code 122300000X

License

049044 Issued in NY

Legal business name

DENTISTS ON MADISON GROUP PRACTICE

Practice address

175 Madison Ave
New York, NY 10016-5106

Phone

(212) 532-2000

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Khaled Eldin, DDS

Title

Owner

Phone

(212) 532-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1013382829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165106",
            "telephone_number": "212-532-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165106",
            "telephone_number": "212-532-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS ON MADISON GROUP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-532-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentique Nyc
• Dentist in the Sky
• Dentist Near Me PLLC
• Dentistry Department of Mount Sinai
• Dentistry of Nyc PC/Cosmetic Dentistry Center Nyc
• Brooke Elyse Denton
• Mawulorm Kwaku Innocent Denu, MD,MPH
• Allison Denver, R.N.
• Michelle N Denver, CLSP(CG)
• Hayley Denwood, MD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.