Maple Ave Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAPLE AVE DENTAL CARE PLLC

Practice address

13620 Maple Ave Unit C503
Flushing, NY 11355-5166

Phone

(718) 799-0123

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cornelius Yen, DDSNPI 1881858991

Title

Partner

Phone

(718) 799-0123

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.

• Cornelius Lisen Yen, DDS

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1881858991
  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1245091909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE UNIT C503",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "718-799-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE UNIT C503",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "718-799-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE AVE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-799-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Manukian
• Elinora Manzorolhagh
• Chao Boon Mao, MA., PT
• David Mao, D.D.S., P.H.D.
• Yiwen Mao
• Maple Care PT PC
• Maple Medical PC
• Maple OB/GYN, PC
• Maple Park Pharmacy, Inc.
• Sherwin Maranan, PT

• General Practice Dentistry in Flushing, NY
• Providers in Flushing, 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 Apr 1, 2025; 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.