Active NPI
Saleh A Elahwal
- Dentist
- Brooklyn, NY
National Provider Identifier
1184633190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 042462
- Practice address
- 481 83Rd St
Brooklyn, NY 11209-4512 - Phone
- (718) 748-1122
- Fax
- (718) 748-9400
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 042462 | NY | |
| Dentist | 122300000X | 042462 | NY | Primary |
Addresses
Primary practice location
481 83Rd St
Brooklyn, NY 11209-4512
Mailing address
481 83Rd St
Brooklyn, NY 11209-4512
Phone (718) 748-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01161471 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230428002313 | NY | Practitioner - Maxillofacial Surgery | 1951620426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042462 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Sleep Care, LLC | Dentist | Current | Accepting new patients |
Locations
481 83rd St
Fl 2
Brooklyn, NY 11209
Phone (718) 748-1122
481 83rd St
Brooklyn, NY 11209
Phone (718) 748-1122
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Art Care
- General Practice Dentistry
- Brooklyn, NY
- NPI 1447500053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1184633190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 83RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094512",
"telephone_number": "718-748-1122",
"fax_number": "718-748-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 83RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094512",
"telephone_number": "718-748-1122",
"fax_number": "718-748-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAHWAL",
"first_name": "SALEH",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "042462",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "042462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01161471",
"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 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.