NPIMap

Organization Active NPI

Avenue Dental Ny, PC

  • Dentist
  • New York, NY
National Provider Identifier
1194120774
Registry record updated Oct 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056711 Issued in NY
Legal business name
AVENUE DENTAL NY, PC
Practice address
16 E 52ND St
Suite 1102
New York, NY 10022-5306
Phone
(646) 590-7525
NPI assigned
Oct 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2014

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

Authorized official

Name
Dr. Alexandra Pantzis, D.D.S.NPI 1831522119
Title
Owner/Dentist
Phone
(646) 590-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 056711 NY Primary

Addresses

Primary practice location

16 E 52ND St
Suite 1102
New York, NY 10022-5306

Mailing address

16 E 52ND St
Suite 1102
New York, NY 10022-5306
Phone (646) 590-7525

National Provider Directory

National Provider Directory

Locations

16 E 52nd St
Ste 1102
New York, NY 10022
Phone (212) 288-7775

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": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1194120774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 52ND ST",
            "address_2": "SUITE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225306",
            "telephone_number": "646-590-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 52ND ST",
            "address_2": "SUITE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225306",
            "telephone_number": "646-590-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE DENTAL NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "PANTZIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "646-590-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "056711",
            "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 Oct 25, 2014; 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.