Active NPI
Pradip R. Shetye, DDS, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1073940656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 055911
- Legal business name
- PRADIP R. SHETYE, DDS, PC
- Practice address
- 307 East 33TH Street
Lower Level
New York, NY 10016 - Phone
- (212) 263-5204
- Fax
- (212) 263-0882
- NPI assigned
- Sep 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pradip Shetye, DDS, MDS
- Title
- President
- Phone
- (917) 553-0349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 055911 | NY | Primary |
Addresses
Primary practice location
307 East 33TH Street
Lower Level
New York, NY 10016
Mailing address
333 East 30TH Street
Apt 1H
New York, NY 10016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03470028 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
307 E 33rd St
Lowr
New York, NY 10016
Phone (212) 263-5204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
- NPI 1659684801
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1073940656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EAST 30TH STREET",
"address_2": "APT 1H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 EAST 33TH STREET",
"address_2": "LOWER LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-263-5204",
"fax_number": "212-263-0882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRADIP R. SHETYE, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-27",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "SHETYE",
"authorized_official_first_name": "PRADIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-553-0349",
"authorized_official_credential": "DDS, MDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "055911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03470028",
"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 Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.