Individual provider Active NPI

Edgard S El Chaar, D.D.S

  • Periodontics
  • New York, NY
National Provider Identifier
1174738009
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
048278 Issued in NY
Practice address
67 Park Ave
1A
New York, NY 10016-2557
Phone
(212) 685-5133
Fax
(212) 685-5134
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031586L PA
Periodontics 1223P0300X 048278 NY Primary

Addresses

Primary practice location

67 Park Ave
1A
New York, NY 10016-2557

Mailing address

130 E 35TH St # 1a
New York, NY 10016-3815
Phone (212) 685-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS031586LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1174738009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 35TH ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163815",
            "telephone_number": "212-685-5133",
            "fax_number": "212-685-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PARK AVE",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162557",
            "telephone_number": "212-685-5133",
            "fax_number": "212-685-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL CHAAR",
        "first_name": "EDGARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031586L",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "048278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.