Individual provider Active NPI

Nassim Kohly, DDS

  • Endodontics
  • New York, NY
National Provider Identifier
1114448941
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
059980 Issued in NY
Practice address
132 E 35TH St
New York, NY 10016-3892
Phone
(212) 736-3676
NPI assigned
Jul 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 059980 NY Primary
Dentist 122300000X 22DI02670100 NJ

Addresses

Primary practice location

132 E 35TH St
New York, NY 10016-3892

Mailing address

320 E 42ND St Apt 1207
New York, NY 10017-5963
Phone (347) 989-6103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02670100NJMDDentist
059980NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Endodontics,LLC Endodontics Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1114448941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 42ND ST APT 1207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175963",
            "telephone_number": "347-989-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163892",
            "telephone_number": "212-736-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLY",
        "first_name": "NASSIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-01",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "059980",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02670100",
            "primary": false
        }
    ],
    "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 Oct 3, 2018; 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.