NPIMap

Organization Active NPI

Yonkers Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Yonkers, NY
National Provider Identifier
1255796553
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
YONKERS ORAL SURGERY, PLLC
Practice address
73 Market Street
Suite 377
Yonkers, NY 10710
Phone
(914) 779-5606
Fax
(914) 968-2474
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Helen Ann Perez
Title
Assistant Office Manager
Phone
(914) 472-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

73 Market Street
Suite 377
Yonkers, NY 10710

Mailing address

73 Market Street
Suite 377
Yonkers, NY 10710
Phone (914) 779-5606

Other identifiers 1

IdentifierTypeStateIssuer
00678024 ETIN AJ19MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1255796553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARKET STREET",
            "address_2": "SUITE 377",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10710",
            "telephone_number": "914-779-5606",
            "fax_number": "914-968-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET STREET",
            "address_2": "SUITE 377",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10710",
            "telephone_number": "914-779-5606",
            "fax_number": "914-968-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONKERS ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "914-472-5252"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00678024 ETIN AJ19",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.