Emanuel Mizrahi DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

042835 Issued in NY

Legal business name

EMANUEL MIZRAHI DDS PC

Practice address

10821 69TH Rd
Forest Hills, NY 11375-3839

Phone

(718) 897-6666

Fax

(718) 263-7678

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Emanuel Mizrahi, D.D.S.NPI 1902022122

Title

President

Phone

(718) 897-6666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Emanuel Mizrahi, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Forest Hills, NY
  • NPI 1902022122
  NPD (past) Authorized official

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1053564948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 69TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753839",
            "telephone_number": "718-897-6666",
            "fax_number": "718-263-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10821 69TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753839",
            "telephone_number": "718-897-6666",
            "fax_number": "718-263-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL MIZRAHI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-897-6666",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "042835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelaine Brett Ellberger, LMSW, MSED
• Imani Lydia Elliott
• Cassandra Noelle Elysee
• Elzie Chan-Englender OD PC
• Em Physical and Occupational Therapy PLLC
• Richard B Emanuel, MD
• Emmanuel Medical PC
• Joi Emmanuel, LCSW
• Empire Medical Associates PLLC
• Empire Medical Group of New York PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.