NPIMap

Organization Active NPI

Avo a Samuelian DDS PLLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1053391284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048122 Issued in NY
Legal business name
AVO A SAMUELIAN DDS PLLC
Practice address
5 E 19TH St
5TH FL
New York, NY 10003
Phone
(212) 253-1850
Fax
(212) 253-0799
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Avo Arsen Samuelian, DDSNPI 1407999204
Title
Owner Member
Phone
(212) 253-1850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 048122 NY Primary

Addresses

Primary practice location

5 E 19TH St
5TH FL
New York, NY 10003

Mailing address

5 E 19TH St
5TH FL
New York, NY 10003
Phone (212) 253-1850

Other names 1

  • Avo Samuelian DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

5 E 19th St
Fl 5
New York, NY 10003
Phone (212) 253-1850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053391284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 19TH ST",
            "address_2": "5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-253-1850",
            "fax_number": "212-253-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 19TH ST",
            "address_2": "5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-253-1850",
            "fax_number": "212-253-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVO A SAMUELIAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMUELIAN",
        "authorized_official_first_name": "AVO",
        "authorized_official_middle_name": "ARSEN",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "212-253-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avo Samuelian DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.