Palooza Smile LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

PALOOZA SMILE LLC

Practice address

664 Academy St
New York, NY 10034-4229

Phone

(718) 294-3725

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alejandro Williams, DDSNPI 1073502217

Title

Owner

Phone

(718) 294-3725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alejandro Leonel Williams, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bronx, NY
  • NPI 1073502217
  Authorized official Same address or phone

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1063291888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ACADEMY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344229",
            "telephone_number": "718-294-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOOZA SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-294-3725",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa S Paloian, PA-C
• Amanda Susana Palomares, PMHNP
• Jacqueline Palomares, FNP-BC
• Brian Michael Palomba, PT, DPT
• Maria Lia Palomba, MD
• Andrew Palosaari, MD
• Afroditie Paloumbis
• Harry A. Paloumbis, RPH
• Sarah Palsen, MD
• Anastasia Palshina, RDN, CDN

• Oral and Maxillofacial Surgery Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.