Active NPI
Raid Saeed Sadda, DDS
- Dentist
- Elmhurst, NY
National Provider Identifier
1033100318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 048611
- Practice address
- 40-36 82ND St
Office #5
Elmhurst, NY 11373-1369 - Phone
- (718) 446-5775
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 048611 | NY | Primary |
Addresses
Primary practice location
40-36 82ND St
Office #5
Elmhurst, NY 11373-1369
Mailing address
40-36 82ND St
Office #5
Elmhurst, NY 11373-1369
Phone (718) 446-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02050420 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 048611 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caryn Tong DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Elmhurst, NY
- NPI 1780051342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1033100318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40-36 82ND ST",
"address_2": "OFFICE #5",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731369",
"telephone_number": "718-446-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40-36 82ND ST",
"address_2": "OFFICE #5",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731369",
"telephone_number": "718-446-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADDA",
"first_name": "RAID",
"middle_name": "SAEED",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "048611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02050420",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.