Upper West Side Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY

Practice address

140 W 69TH St PH 1G
New York, NY 10023-5173

Phone

(646) 734-6742

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Nam Park, DDS, MDNPI 1326293614

Title

DDS, MD

Phone

(646) 734-6742

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.

• Nam Park

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1326293614
  NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1053921643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 69TH ST PH 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 69TH ST PH 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235173",
            "telephone_number": "646-734-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "NAM",
        "authorized_official_title_or_position": "DDS, MD",
        "authorized_official_telephone_number": "646-734-6742",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper West Side Dermatology, P.C.
• Upper West Side Family Medical Practice
• Upper West Side Medical Associates PC
• Upper West Side Medical Doctor PLLC
• Upper West Side Medical P.L.L.C.
• Upper West Side Podiatry PC
• Upper Westside Opthalmology Eyecare
• Upper Westside Surgical Group
• Janet Upright, MSW
• Emily Upshur, PH.D.

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.