Organization Active NPI

Park East Dental Associates

  • Prosthodontics
  • New York, NY
National Provider Identifier
1285959601
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
029682 Issued in NY
Legal business name
PARK EAST DENTAL ASSOCIATES
Practice address
20 East 68TH Street
Suite 210
New York, NY 10065
Phone
(212) 861-2170
Fax
(212) 861-2895
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Mrs. Yalle Ramey-Siame
Title
Office Administrator
Phone
(212) 861-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 029682 NY Primary

Addresses

Primary practice location

20 East 68TH Street
Suite 210
New York, NY 10065

Mailing address

20 East 68TH Street
Suite 210
New York, NY 10065
Phone (212) 861-2170

National Provider Directory

National Provider Directory

Locations

20 E 68th St
Ste 210
New York, NY 10065
Phone (212) 861-2170

Practitioners & affiliated clinicians

Practitioners 1

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": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1285959601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EAST 68TH STREET",
            "address_2": "SUITE 210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-861-2170",
            "fax_number": "212-861-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST 68TH STREET",
            "address_2": "SUITE 210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-861-2170",
            "fax_number": "212-861-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK EAST DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "RAMEY-SIAME",
        "authorized_official_first_name": "YALLE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "212-861-2170",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "029682",
            "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 Mar 29, 2010; 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.