Citibrites Surgical LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040944 Issued in NY

Legal business name

CITIBRITES SURGICAL LLC

Practice address

131 Arnold St FL 2
Staten Island, NY 10301-2236

Phone

(718) 727-0274

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Terrance Stradford, DDS ABOI

Title

NMM

Phone

(718) 727-0274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1124554332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ARNOLD ST FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012236",
            "telephone_number": "718-727-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ARNOLD ST FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012236",
            "telephone_number": "718-727-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIBRITES SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "STRADFORD",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "NMM",
        "authorized_official_telephone_number": "718-727-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS ABOI"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Richard Cisternas, D.D.S.
• Samantha Cisternino
• Jaime Citera
• Citibrites Dental Hylan LLC
• Citibrites Dental LLC
• City Access New York, Inc.
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.