Michael B. Kushner DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034349 Issued in NY

Legal business name

MICHAEL B. KUSHNER DDS PC

Doing business as

Forest Dental

Practice address

1340 Forest Ave
Staten Island, NY 10302-2002

Phone

(718) 442-4440

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael B KushnerNPI 1578552592

Title

President

Phone

(718) 442-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forest Dental Doing business as

Locations

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.

• Michael Bruce Kushner, DDS

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1578552592
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1255599908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022002",
            "telephone_number": "718-442-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. KUSHNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-442-4440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Mica, RN
• Tonianne Marie Micara, MS ED
• Jack Miceli, DDS
• Mary A Miceli, LCSW
• Peter Joseph Miceli, M.D.
• Michael Castania (Elite Mobility & Physical Therapy)
• Michael Costes, MD
• Michael Joseph Tadros MD PLLC
• Michael Piccarelli DPM
• Michael R. Castellano, MD, PC

• 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 May 29, 2008; 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.