Organization Active NPI

Dental Specialty Associates of Gramercy

  • Oral and Maxillofacial Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1114185774
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
37188 Issued in NY
Legal business name
DENTAL SPECIALTY ASSOCIATES OF GRAMERCY
Practice address
205 E 16TH St Ste LL
New York, NY 10003-3790
Phone
(212) 228-2505
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. Robert Maimone, DR.NPI 1447399340
Title
Owner
Phone
(212) 228-2505

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 37188 NY
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 37188 NY Primary

Addresses

Primary practice location

205 E 16TH St Ste LL
New York, NY 10003-3790

Mailing address

205 E 16TH St Ste LL
New York, NY 10003-3790
Phone (212) 228-2505

National Provider Directory

National Provider Directory

Locations

205 E 16th St
Apt Ll
New York, NY 10003
Phone (212) 228-2505

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1114185774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 16TH ST STE LL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033790",
            "telephone_number": "212-228-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 16TH ST STE LL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033790",
            "telephone_number": "212-228-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY ASSOCIATES OF GRAMERCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MAIMONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-228-2505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "37188",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "37188",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 29, 2008; 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.