Organization Active NPI

Galandentalpc

  • Legal Medicine
  • New York, NY
National Provider Identifier
1053584607
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
046680-1 Issued in NY
Legal business name
GALANDENTALPC
Practice address
3440 Broadway Apt 1a
New York, NY 10031-5609
Phone
(212) 283-6555
Fax
(212) 283-1211
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Manuel F Galan Jr., DDS
Title
Dentist
Phone
(212) 283-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 046680-1 NY Primary

Addresses

Primary practice location

3440 Broadway Apt 1a
New York, NY 10031-5609

Mailing address

3440 Broadway Apt 1a
New York, NY 10031-5609
Phone (212) 283-6555

Other identifiers 1

IdentifierTypeStateIssuer
01702056MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1053584607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BROADWAY APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315609",
            "telephone_number": "212-283-6555",
            "fax_number": "212-283-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BROADWAY APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315609",
            "telephone_number": "212-283-6555",
            "fax_number": "212-283-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALANDENTALPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-283-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "046680-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702056",
            "state": "NY"
        }
    ],
    "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 Apr 3, 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.