Yandresco Quintana DDS PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

057383 Issued in NY

Legal business name

YANDRESCO QUINTANA DDS PC

Practice address

651 W 180TH St
Suite 1
New York, NY 10033-4802

Phone

(212) 927-0565

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Yandresco Quintana, M.D. D.D.S.NPI 1114187762

Title

Pressident

Phone

(212) 927-0565

Specialties & licenses 1

Addresses

Other names 1

• New Heights Oral Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Yandresco Quintana, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1114187762
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1073059283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 93RD ST APT 21A",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283960",
            "telephone_number": "212-927-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W 180TH ST",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334802",
            "telephone_number": "212-927-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANDRESCO QUINTANA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "YANDRESCO",
        "authorized_official_title_or_position": "PRESSIDENT",
        "authorized_official_telephone_number": "212-927-0565",
        "authorized_official_credential": "M.D. D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "057383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Heights Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen L Yanchus, PT, DPT
• Karen Jacqueline Yancopoulos, FNP
• Aaron Edward Yancoskie, D.D.S.
• Stanley Yancovitz, MD
• Stephanie Yandow
• Iris Yanes
• Melanie Yanez
• Shelly Y. Yang-Miao, RPH
• Alex Yang, O.D.
• Allison Liao Yang, MD, MPH

• 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 Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.