NPIMap

Organization Active NPI

Professional Oral Surgery Alliance of Downstate New York PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Scarsdale, NY
National Provider Identifier
1144043092
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PROFESSIONAL ORAL SURGERY ALLIANCE OF DOWNSTATE NEW YORK PLLC
Practice address
1075 Central Park Ave Ste 207
Scarsdale, NY 10583-3250
Phone
(914) 472-5252
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Kayla Graham
Title
Credentialing
Phone
(724) 698-2474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1075 Central Park Ave Ste 207
Scarsdale, NY 10583-3250

Mailing address

125 Enterprise Dr Ste 200
Pittsburgh, PA 15275-1223

Other practice location 1

73 Market St Ste 377
Yonkers, NY 10710-7619
Phone (914) 779-5606

Other practice location 2

337 N Main St Ste 8
New City, NY 10956-4318
Phone (845) 634-3121

Other names 3

  • New City Oral Surgery Doing business as
  • Scarsdale Oral Surgery Doing business as
  • Yonkers Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evan Chafitz DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

73 Market St
Ste 377
Yonkers, NY 10710
Phone (914) 779-5606

Practitioners & affiliated clinicians

Practitioners 12

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": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1144043092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE STE 207",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833250",
            "telephone_number": "914-472-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Market St Ste 377",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107107619",
            "country_code": "US",
            "telephone_number": "914-779-5606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 N Main St Ste 8",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109564318",
            "country_code": "US",
            "telephone_number": "845-634-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL ORAL SURGERY ALLIANCE OF DOWNSTATE NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "724-698-2474"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New City Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scarsdale Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yonkers Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 7, 2024; 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.