Organization Active NPI

Flatbush Dental Associates PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1023371598
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39376 Issued in NY
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

Updated by the provider on Jun 20, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00913084MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Flatbush Dental Associates 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": "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

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.

Verify at the official NPI Registry.