Organization Active NPI

Astor Smile Dental PLLC

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1124459706
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
056719 Issued in NY
Legal business name
ASTOR SMILE DENTAL PLLC
Practice address
191 3Rd Ave
New York, NY 10003-2501
Phone
(212) 254-0800
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Dr. Eunjung Jo, D.D.S.
Title
Doctor
Phone
(212) 254-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 056719 NY Primary

Addresses

Primary practice location

191 3Rd Ave
New York, NY 10003-2501

Mailing address

191 3Rd Ave
New York, NY 10003-2501
Phone (212) 254-0800

National Provider Directory

National Provider Directory

Locations

191 3rd Ave
New York, NY 10003
Phone (212) 375-1160

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1124459706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-254-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-254-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTOR SMILE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "EUNJUNG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-254-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "056719",
            "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 Dec 6, 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.