Active NPI
Nu Dental PC
Doing business as NU Dental
- Dental Clinic/Center
- Staten Island, NY
National Provider Identifier
1245871029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NU DENTAL PC
- Doing business as
- NU Dental
- Practice address
- 76 Pond St
Staten Island, NY 10309-1797 - Phone
- (718) 568-0405
- NPI assigned
- Oct 3, 2019
- Last updated
- Oct 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Admasu N Gizahew, DDS
- Title
- Owner/Director
- Phone
- (718) 568-0405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
76 Pond St
Staten Island, NY 10309-1797
Mailing address
16 Riverside LN
Holmdel, NJ 07733-2084
Other names 1
- NU Dental
National Provider Directory
National Provider DirectoryLocations
76 Pond St
Staten Island, NY 10309
Phone (718) 568-0405
Practitioners & affiliated clinicians
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.
-
- Dentist
- Brick, NJ
- NPI 1295072973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570060800000",
"number": "1245871029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 RIVERSIDE LN",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 POND ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091797",
"telephone_number": "718-568-0405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A",
"authorized_official_last_name": "GIZAHEW",
"authorized_official_first_name": "ADMASU",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "718-568-0405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NU Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.