Emagen Dental LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

053976 Issued in NY

Legal business name

EMAGEN DENTAL LLC

Practice address

603 Greenwich St Ste 1B
New York, NY 10014-7073

Phone

(212) 352-9300

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Michael Chau, DMDNPI 1063674653

Title

Partner

Phone

(212) 352-9300

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Chau, DMD

  • Periodontics
  • New York, NY
  • NPI 1063674653
  NPD Authorized official
• Maria C Kim, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1013173111
  NPD
• Adolf Brian Urtula, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1922336957

  Periodontics

  NPD
• Emily Y Ro, D.D.S.

  • Prosthodontics
  • New York, NY
  • NPI 1205919347
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1235646753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 GREENWICH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143696",
            "telephone_number": "212-352-9300",
            "fax_number": "212-352-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 GREENWICH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100147073",
            "telephone_number": "212-352-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAGEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-02-05",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-352-9300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053902",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "053931",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "053976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elysium Acupuncture PC
• Nicole Elyukin
• Adel Elzanie, MD
• Fatima Elzin
• Steven Tirro Em, MD
• Charles William Emala Sr., M.D.
• Rana Mohamed Mamdouh Amin Emam, M.D.
• Kouros Emami, PSY.D.
• Sai Sreeja Emani
• Shaila Reddy Emani

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.