Elite Dental of Staten Island,PC

Primary specialty

DentistTaxonomy code 122300000X

License

036474 Issued in NY

Legal business name

ELITE DENTAL OF STATEN ISLAND,PC

Practice address

2291 Victory Blvd
Staten Island, NY 10314-6625

Phone

(718) 370-1200

Fax

(718) 370-1207

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Steven R Acker, DDS

Title

Owner

Phone

(718) 370-1200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1043632318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-370-1200",
            "fax_number": "718-370-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-370-1200",
            "fax_number": "718-370-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL OF STATEN ISLAND,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-370-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "036474",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Elias, M.D.
• Fabernia Elien
• Enbar Elimelekh, MA CCC-SLP
• Esme Elisson, F.N.P.
• Elite Care Occupational Therapy PLLC
• Elite Echo Services Inc
• Elite Learning Studio LLC
• Elite Learning Studio LLC
• Elitedent Management LLC
• Hanadi Eljammal, LCSW

• Dentist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.