Individual provider Active NPI

Maha Younis Aldoori, DMD

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1013907930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050761 Issued in NY
Practice address
670 92ND St
Brooklyn, NY 11228-3632
Phone
(718) 833-7466
Fax
(718) 745-7442
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050761 NY Primary

Addresses

Primary practice location

670 92ND St
Brooklyn, NY 11228-3632

Mailing address

6 King St
Scotch Plains, NJ 07076-2700
Phone (718) 833-7466

Other identifiers 1

IdentifierTypeStateIssuer
02490908MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050761NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013907930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KING ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762700",
            "telephone_number": "718-833-7466",
            "fax_number": "718-745-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283632",
            "telephone_number": "718-833-7466",
            "fax_number": "718-745-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDOORI",
        "first_name": "MAHA",
        "middle_name": "YOUNIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02490908",
            "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 Jul 8, 2007; 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.