Citibrites Dental Hylan LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CITIBRITES DENTAL HYLAN LLC

Practice address

4076 Hylan Blvd
Staten Island, NY 10308-3337

Phone

(718) 966-6200

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Terrance Stradford, DDSNPI 1811352057

Title

Owner

Phone

(732) 850-3543

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Terrance Stradford, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1811352057
  NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1235754060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083337",
            "telephone_number": "718-966-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083337",
            "telephone_number": "718-966-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIBRITES DENTAL HYLAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "STRADFORD",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-850-3543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Monique Cirone, L.AC
• Aissata Cisse, RN,BSN
• Steven Richard Cisternas, D.D.S.
• Samantha Cisternino
• Jaime Citera
• Citibrites Dental LLC
• Citibrites Surgical LLC
• City Access New York, Inc.
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• City Medical of Upper East Side, PLLC (CityMD)

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.