92 Jamaica Ave Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0491371 Issued in NY

Legal business name

92 JAMAICA AVE DENTISTRY PC

Practice address

9709 Jamaica Ave
Woodhaven, NY 11421-2211

Phone

(917) 776-7520

NPI assigned

May 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kamrooz Korori, DDS

Title

Dentist

Phone

(407) 977-9230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1033565122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212211",
            "telephone_number": "917-776-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212211",
            "telephone_number": "917-776-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "92 JAMAICA AVE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "KORORI",
        "authorized_official_first_name": "KAMROOZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-977-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "0491371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&M and Associates LLC
• Azia Haley Abrahan-May, LMSW
• Accredited Medical Supply, Inc.
• Arlene Acevedo
• Leilanie A Acuzar-Mayo

• Dental Clinic/Center in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.