Organization Active NPI

Sherrill Fay, DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1285872515
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
052966 Issued in NY
Legal business name
SHERRILL FAY, DMD, PC
Practice address
253 W 72ND St
#216
New York, NY 10023-2705
Phone
(973) 714-1863
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Sherrill Fay, DMD, MD
Title
Owner
Phone
(973) 714-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 052966 NY Primary

Addresses

Primary practice location

253 W 72ND St
#216
New York, NY 10023-2705

Mailing address

253 W 72ND St
#216
New York, NY 10023-2705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1285872515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 W 72ND ST",
            "address_2": "#216",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 W 72ND ST",
            "address_2": "#216",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232705",
            "telephone_number": "973-714-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRILL FAY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "SHERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-714-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "052966",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2015; 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.