Bay Plaza Mall Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAY PLAZA MALL DENTAL PLLC

Practice address

200 Baychester Ave Ste 311C
Bronx, NY 10475-4585

Phone

(347) 625-6438

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Dzidra Zujeva

Title

Manager

Phone

(347) 625-6438

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1033633466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012601",
            "telephone_number": "914-997-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BAYCHESTER AVE STE 311C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754585",
            "telephone_number": "347-625-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PLAZA MALL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "ZUJEVA",
        "authorized_official_first_name": "DZIDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-625-6438"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Baxter X
• Michael Baxter, PHARMD.
• Bay Park Center for Nursing and Rehabilitation, LLC
• Bay Plaza Eyecare, LLC
• Bay Plaza Foot Care,.P.C.
• Baychester Multispecialties LLC
• Baychester Pharmacy LLC
• Erin Bayer, PA-C
• Kaylee Rose Bayer, LMSW
• Shawn V Bayer, LMSW

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.