NPIMap

Organization Active NPI

New York University

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1164555124
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
021314-2 Issued in NY
Legal business name
NEW YORK UNIVERSITY
Practice address
345 E 24TH St
New York, NY 10010-4020
Phone
(347) 218-0941
Fax
(212) 995-4851
NPI assigned
Mar 13, 2007
Organization subpart
Yes
Parent organization
NEW YORK UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Dr. Michael P. O'Connor, ED.D., M.P.A
Title
Exec. Assoc. Dean for Admin Finance
Phone
(212) 998-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 021314-2 NY Primary

Addresses

Primary practice location

345 E 24TH St
New York, NY 10010-4020

Mailing address

345 E 24TH St
New York, NY 10010-4020
Phone (212) 998-9348

Other identifiers 1

IdentifierTypeStateIssuer
01334674MedicaidNY

Other names 1

  • New York University College of Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924000969 NY Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
NYU Anesthesia Assoc104 organizations share this tax ID, including this one
Part of
NYU Anesthesia Assoc

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

345 E 24th St
New York, NY 10010
Phone (212) 988-9800

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NYU Langone HospitalsNew York, NY, CCN 330214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone Hospitals Psychiatric UnitNew York, NY, CCN 33S214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone HospitalsMineola, NY, CCN 33021401 Hospital Operational/Managerial Control Aug 1, 2019
NYU Langone Amb Care CommackGarden City, NY, CCN 337187 Home health agency Operational/Managerial Control Apr 1, 2015

Practitioners & affiliated clinicians

Practitioners 2

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1164555124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-998-9348",
            "fax_number": "212-995-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "347-218-0941",
            "fax_number": "212-995-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXEC. ASSOC. DEAN FOR ADMIN FINANCE",
        "authorized_official_telephone_number": "212-998-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., M.P.A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "021314-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01334674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York University College of Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.