Plaza Endodontic GRP PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

029156 Issued in NY

Legal business name

PLAZA ENDODONTIC GRP PC

Practice address

2215 Hendrickson Street
Plaza Endodontic Group PC
Brooklyn, NY 11234-5130

Phone

(718) 377-4884

Fax

(718) 377-1063

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joel Fishman, DDS

Title

President

Phone

(718) 377-4884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1164506028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 HENDRICKSON STREET",
            "address_2": "PLAZA ENDODONTIC GROUP PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345130",
            "telephone_number": "718-377-4884",
            "fax_number": "718-377-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 HENDRICKSON STREET",
            "address_2": "PLAZA ENDODONTIC GROUP PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345130",
            "telephone_number": "718-377-4884",
            "fax_number": "718-377-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA ENDODONTIC GRP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-377-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "029156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Play It Forward Early Intervention LLC
• Play Learn & Grow, LLC
• Play, Explore, Learn Inc.
• Playdigital Inc
• Playful ABA
• Plaza Foot Care P.C.
• Karin Johanna Plaza Lazo, MD
• Plaza Medical, P.C.
• Plaza One Medical Healthcare PC
• Plaza Optical

• Endodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.