Organization Active NPI

Ny Metro Dental PC

Doing business as 55 East Village Dental

  • Dentist
  • New York, NY
National Provider Identifier
1033837315
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NY METRO DENTAL PC
Doing business as
55 East Village Dental
Practice address
55 Avenue C
New York, NY 10009-6855
Phone
(212) 673-3698
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Christine Branigan
Title
RCM Manager
Phone
(631) 696-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

55 Avenue C
New York, NY 10009-6855

Mailing address

55 Avenue C
New York, NY 10009-6855
Phone (212) 673-3698

Other names 1

  • 55 East Village Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ny Metro Dental PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Loisaida Ave
New York, NY 10009
Phone (201) 310-0289

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1033837315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 AVENUE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096855",
            "telephone_number": "212-673-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AVENUE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096855",
            "telephone_number": "212-673-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY METRO DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "BRANIGAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "631-696-0100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "55 East Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 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.

Verify at the official NPI Registry.