Individual provider Active NPI

Alon Meir Prywes, D.M.D

  • Periodontics
  • New York, NY
National Provider Identifier
1023110533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
036360 Issued in NY
Practice address
33 5TH Ave
New York, NY 10003-4338
Phone
(212) 982-4439
Fax
(212) 677-1907
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X 036360 NY Primary

Addresses

Primary practice location

33 5TH Ave
New York, NY 10003-4338

Mailing address

33 5TH Ave
New York, NY 10003-4338
Phone (212) 982-4439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614000530 NY Order and Referring Only - DentistPractitioner - Dentist 7113218637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023110533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034338",
            "telephone_number": "212-982-4439",
            "fax_number": "212-677-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034338",
            "telephone_number": "212-982-4439",
            "fax_number": "212-677-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYWES",
        "first_name": "ALON",
        "middle_name": "MEIR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "036360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.