Individual provider Active NPI

Bruce A Paly, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1033444898
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032873 Issued in NY
Practice address
41 E 57TH St
Suite 2601
New York, NY 10022-1907
Phone
(212) 223-0273
Fax
(212) 421-2169
NPI assigned
Oct 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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 032873 NY Primary

Addresses

Primary practice location

41 E 57TH St
Suite 2601
New York, NY 10022-1907

Mailing address

41 E 57TH St
Suite 2601
New York, NY 10022-1907
Phone (212) 223-0273

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
032873NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1033444898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E 57TH ST",
            "address_2": "SUITE 2601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221907",
            "telephone_number": "212-223-0273",
            "fax_number": "212-421-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 57TH ST",
            "address_2": "SUITE 2601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221907",
            "telephone_number": "212-223-0273",
            "fax_number": "212-421-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALY",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032873",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2009; 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.