Organization Active NPI

Aj Dental PC

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1194996728
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051141-1 Issued in NY
Legal business name
AJ DENTAL PC
Practice address
1 Palisade Ave
2ND Floor
Yonkers, NY 10701
Phone
(914) 375-6106
Fax
(914) 375-6108
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Arun Balakumar, DDSNPI 1366597916
Title
Ceo
Phone
(914) 375-6106

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 051141-1 NY Primary

Addresses

Primary practice location

1 Palisade Ave
2ND Floor
Yonkers, NY 10701

Mailing address

1 Palisade Ave
2ND Floor
Yonkers, NY 10701
Phone (914) 375-6106

Other identifiers 1

IdentifierTypeStateIssuer
02561315MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Palisade Ave
Ste 2
Yonkers, NY 10701
Phone (914) 375-6106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1194996728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PALISADE AVE",
            "address_2": "2ND FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-375-6106",
            "fax_number": "914-375-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PALISADE AVE",
            "address_2": "2ND FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-375-6106",
            "fax_number": "914-375-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BALAKUMAR",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-375-6106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051141-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02561315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.