Active NPI
Jonathan Yomtobian
- Dentist
- Richmond Hill, NY
National Provider Identifier
1033741376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061957
- Practice address
- 11707 Jamaica Ave # 1
Richmond Hill, NY 11418-2435 - Phone
- (718) 604-5000
- NPI assigned
- Feb 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 061957 | NY | Primary |
Addresses
Primary practice location
11707 Jamaica Ave # 1
Richmond Hill, NY 11418-2435
Mailing address
209 Alpine Dr
Paramus, NJ 07652-1301
Phone (201) 951-4218
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 |
|---|---|---|---|
| 061957 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1033741376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 ALPINE DR",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521301",
"telephone_number": "201-951-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11707 JAMAICA AVE # 1",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182435",
"telephone_number": "718-604-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOMTOBIAN",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-05",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.