Organization Active NPI

Kings Highway Oral & Maxillofacial Surgery P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Brooklyn, NY
National Provider Identifier
1164708665
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
054408 Issued in NY
Legal business name
KINGS HIGHWAY ORAL & MAXILLOFACIAL SURGERY P.C.
Practice address
1610 E 19TH St
Brooklyn, NY 11229-1302
Phone
(718) 576-6999
Fax
(718) 576-6996
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Dr. Saar Amrani, DMD, MD
Title
Ceo
Phone
(718) 576-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 054408 NY Primary

Addresses

Primary practice location

1610 E 19TH St
Brooklyn, NY 11229-1302

Mailing address

1610 E 19TH St
Brooklyn, NY 11229-1302
Phone (718) 576-6999

Other identifiers 1

IdentifierTypeStateIssuer
03172658MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1164708665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291302",
            "telephone_number": "718-576-6999",
            "fax_number": "718-576-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291302",
            "telephone_number": "718-576-6999",
            "fax_number": "718-576-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HIGHWAY ORAL & MAXILLOFACIAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "AMRANI",
        "authorized_official_first_name": "SAAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-576-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "054408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03172658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.