Your Syracuse Family Dentist P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUR SYRACUSE FAMILY DENTIST P.C.

Practice address

4627 Onondaga Blvd
Syracuse, NY 13219-3301

Phone

(315) 477-9960

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Meluni, DDSNPI 1871117184

Title

Partner/Dentist

Phone

(315) 477-9960

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Joseph Meluni, DDS

  • Dentist
  • Syracuse, NY
  • NPI 1871117184
  NPD Authorized official
• Vincent Dominic Dimento, DMD

  • Dentist
  • Syracuse, NY
  • NPI 1235261173
  NPD (past)

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1275367765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 ONONDAGA BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193301",
            "telephone_number": "315-477-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 ONONDAGA BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193301",
            "telephone_number": "315-477-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SYRACUSE FAMILY DENTIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MELUNI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "315-477-9960",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS ISSUED",
            "identifier": "1235261173",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS ISSUED",
            "identifier": "1871117184",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Marie Young
• Rachel L Young, NPN
• Rosalie Rebecca Young, LCSW
• Steven Edward Young, PT, MS
• Tracee A Young, FNP-C
• Mobeen Yousaf, MD
• Mahmoud Yousef
• Abdalla Mohamed Yousif, M.D
• Muhammad Hamza Yousuf
• Allan Yozawitz, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.