Wyckoff Heights Dental Services, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WYCKOFF HEIGHTS DENTAL SERVICES, PC

Practice address

Wyckoff Pediatric Care Center - 1411 Myrtle Avenue
Wyckoff Heights Dental Services, PC
Brooklyn, NY 11237

Phone

(718) 907-4301

NPI assigned

Dec 21, 2015

Last updated

Dec 21, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

WYCKOFF HEIGHTS DENTAL SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Frank Vutrano

Title

Chief Financial Officer

Phone

(718) 963-6702

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wyckoff Heights Dental Services PC2 organizations share this tax ID, including this one

Part of

Wyckoff Heights Dental Services PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wyckoff Heights Dental Services P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1447298070
  NPD tax ID

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.

• Karl Hoffmann-Egozcue, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1932225463
  NPD

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1245695030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WYCKOFF PEDIATRIC CARE CENTER - 1411 MYRTLE AVENUE",
            "address_2": "WYCKOFF HEIGHTS DENTAL SERVICES, PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-907-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF HEIGHTS DENTAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYCKOFF HEIGHTS DENTAL SERVICES, PC",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "VUTRANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-963-6702"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01894164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyckoff Dr. Guberman Wyckoff Heights Medical Center
• Wyckoff Emergency Medicine Services, P.C.
• Wyckoff Emergency Medicine Services, PC
• Wyckoff Family Medical Services P C
• Wyckoff Heights Dental Services P.C.
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.