Active NPI
Flatbush Dental Associates PC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1023371598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39376
- Legal business name
- FLATBUSH DENTAL ASSOCIATES PC
- Practice address
- 1040 1St Ave # 393
New York, NY 10022-2991 - Phone
- (718) 252-0056
- NPI assigned
- Jun 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Nadler
- Title
- President
- Phone
- (718) 252-0056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39376 | NY | Primary |
Addresses
Primary practice location
1040 1St Ave # 393
New York, NY 10022-2991
Mailing address
3013 Avenue J
Brooklyn, NY 11210-3837
Phone (718) 252-0056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00913084 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Flatbush Dental Associates PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1538421417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1023371598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 AVENUE J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103837",
"telephone_number": "718-252-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 1ST AVE # 393",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222991",
"telephone_number": "718-252-0056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLATBUSH DENTAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "NADLER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-252-0056",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "39376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00913084",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Ryan Flannigan, MD
- Thomas A Flannigan, D.C.
- Jennifer Flanz, PSYD
- Elizabeth M Flar, RN
- Moses Flash
- Flatiron Chiropractic and Physical Therapy Associates PLLC
- Flatiron Chiropractic Wellness PC
- Flatiron Dental PLLC (Flatiron Dental)
- Flatiron Family Dental, PC
- Flatiron Family Medical PC (Flatiron Family Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.