Active NPI
Wadsworth Family Dentistry, P.C.
- Dental Clinic/Center
- New York, NY
National Provider Identifier
1275790594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 051417-1
- Legal business name
- WADSWORTH FAMILY DENTISTRY, P.C.
- Practice address
- 341A Wadsworth Ave
New York, NY 10040-3143 - Phone
- (212) 795-4475
- Fax
- (212) 928-3650
- NPI assigned
- May 22, 2008
- 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. Ningsheng Ma, D.D.S.
- Title
- Owner
- Phone
- (212) 795-4475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 051417-1 | NY | Primary |
Addresses
Primary practice location
341A Wadsworth Ave
New York, NY 10040-3143
Mailing address
341A Wadsworth Ave
New York, NY 10040-3143
Phone (212) 795-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02656077 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
341A Wadsworth Ave
New York, NY 10040
Phone (212) 795-4475
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1336138775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1275790594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341A WADSWORTH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100403143",
"telephone_number": "212-795-4475",
"fax_number": "212-928-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341A WADSWORTH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100403143",
"telephone_number": "212-795-4475",
"fax_number": "212-928-3650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WADSWORTH FAMILY DENTISTRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "NINGSHENG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-795-4475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "051417-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02656077",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.