Organization Active NPI

N.George Habeeb,D.D.S.,P.C.

  • Periodontics
  • Kingston, NY
National Provider Identifier
1295950541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
031560 Issued in NY
Legal business name
N.GEORGE HABEEB,D.D.S.,P.C.
Practice address
272 Clinton Ave
Kingston, NY 12401-2911
Phone
(845) 338-4536
Fax
(845) 338-4537
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nasser George Habeeb, D.D.S.NPI 1316323819
Title
President
Phone
(845) 338-4536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 031560 NY Primary

Addresses

Primary practice location

272 Clinton Ave
Kingston, NY 12401-2911

Mailing address

272 Clinton Ave
Kingston, NY 12401-2911
Phone (845) 338-4536

National Provider Directory

National Provider Directory

Locations

272 Clinton Ave
Kingston, NY 12401
Phone (845) 338-4536

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295950541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CLINTON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012911",
            "telephone_number": "845-338-4536",
            "fax_number": "845-338-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CLINTON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012911",
            "telephone_number": "845-338-4536",
            "fax_number": "845-338-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.GEORGE HABEEB,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABEEB",
        "authorized_official_first_name": "NASSER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-338-4536",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "031560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.