Active NPI
Anna Padva German, DDS
- Dentist
- New York, NY
National Provider Identifier
1043382039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0419571
- Practice address
- 241 West 30TH Street
New York, NY 10013 - Phone
- (917) 351-0200
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0419571 | NY | Primary |
Addresses
Primary practice location
241 West 30TH Street
New York, NY 10013
Mailing address
446 Dunlin Plaza
Secaucus, NJ 07094
Phone (201) 902-9330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 28, 2015 through Dec 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0419571 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043382039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 DUNLIN PLAZA",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "07094",
"telephone_number": "201-902-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 WEST 30TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "917-351-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADVA GERMAN",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0419571",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.