Active NPI
Samantha J Lynch
- Dentist
- New York, NY
National Provider Identifier
1174818678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056476
- Practice address
- 525 W End Ave
Suite 1G
New York, NY 10024-3267 - Phone
- (212) 874-2880
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056476 | NY | Primary |
Addresses
Primary practice location
525 W End Ave
Suite 1G
New York, NY 10024-3267
Mailing address
1 Wildwood GDNS
Apt A2
Port Washington, NY 11050-2308
Phone (516) 617-8787
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Oasis Dentistry PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- New York, NY
- NPI 1275049553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1174818678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WILDWOOD GDNS",
"address_2": "APT A2",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502308",
"telephone_number": "516-617-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W END AVE",
"address_2": "SUITE 1G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243267",
"telephone_number": "212-874-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "SAMANTHA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056476",
"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 Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.