Individual provider Active NPI

Ariana Maiberg, DDS

  • Periodontics
  • New York, NY
National Provider Identifier
1225860497
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
064150 Issued in NY
Practice address
121 E 60TH St Ste 6C1
New York, NY 10022-1117
Phone
(212) 644-4477
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 064150 NY Primary

Addresses

Primary practice location

121 E 60TH St Ste 6C1
New York, NY 10022-1117

Mailing address

300 E 34TH St Apt 4a
New York, NY 10016-5225
Phone (516) 510-4845

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
064150NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Navid Rahmani DDS PC Periodontics PastSince Aug 18, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1225860497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 34TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165225",
            "telephone_number": "516-510-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST STE 6C1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-644-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIBERG",
        "first_name": "ARIANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "064150",
            "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 Aug 16, 2024; 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.