Active NPI
Eduard Michael Pinchas, DDS
- Dentist
- Rego Park, NY
National Provider Identifier
1063424489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 050336
- Practice address
- 8811 63 Drive
Rego Park, NY 11374 - Phone
- (718) 779-2242
- Fax
- (718) 779-2253
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 050336 | NY | Primary |
Addresses
Primary practice location
8811 63 Drive
Rego Park, NY 11374
Mailing address
8811 63 Drive
Rego Park, NY 11374
Phone (718) 779-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525001491 | NY | Order and Referring Only - Other (Physician) | 0648569004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050336 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1063424489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 63 DRIVE",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-779-2242",
"fax_number": "718-779-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 63 DRIVE",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-779-2242",
"fax_number": "718-779-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCHAS",
"first_name": "EDUARD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "050336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.