Organization Active NPI

Pradip R. Shetye, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1073940656
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
055911 Issued in NY
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

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Pradip Shetye, DDS, MDSNPI 1659684801
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03470028MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.