Organization Active NPI

New York Oral Maxillofacial and Implant Surgery P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Scarsdale, NY
National Provider Identifier
1124327135
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
NEW YORK ORAL MAXILLOFACIAL AND IMPLANT SURGERY P.C.
Practice address
495 Central Park Ave
Suite 201
Scarsdale, NY 10583-1068
Phone
(914) 472-0100
Fax
(914) 472-1563
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Mr. Andrew Horowitz, D.M.D., M.D.NPI 1851431415
Title
Owner/Partner
Phone
(914) 472-0100

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

495 Central Park Ave
Suite 201
Scarsdale, NY 10583-1068

Mailing address

495 Central Park Ave
Suite 201
Scarsdale, NY 10583-1068
Phone (914) 472-0100

Other identifiers 1

IdentifierTypeStateIssuer
00285089MedicaidNY

National Provider Directory

National Provider Directory

Locations

495 Central Park Ave
Ste 201
Scarsdale, NY 10583
Phone (914) 472-0100

Practitioners & affiliated clinicians

Practitioners 5

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": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1124327135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE",
            "address_2": "SUITE 201",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831068",
            "telephone_number": "914-472-0100",
            "fax_number": "914-472-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE",
            "address_2": "SUITE 201",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831068",
            "telephone_number": "914-472-0100",
            "fax_number": "914-472-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ORAL MAXILLOFACIAL AND IMPLANT SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "914-472-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.