5B105Strdentalpc

Primary specialty

DentistTaxonomy code 122300000X

License

046206-1 Issued in NY

Legal business name

5B105STRDENTALPC

Practice address

5 Beach 105TH St
Rockaway Park, NY 11694-2699

Phone

(718) 474-0007

Fax

(718) 474-0004

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joanna Kowalewski, DDS

Title

Dentist

Phone

(718) 474-0007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Barry D Kurtz, DDS

  • General Practice Dentistry
  • Rockaway Park, NY
  • NPI 1053313148
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306052618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942699",
            "telephone_number": "718-474-0007",
            "fax_number": "718-474-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942699",
            "telephone_number": "718-474-0007",
            "fax_number": "718-474-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5B105STRDENTALPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOWALEWSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-474-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 6677 Broadway LLC
• A & L Pharmacy Corp
• A Life Saver Dba Pleet Home Care Agency, Inc.
• Igor Abramov, PHARMD
• Cintia Abrantkoski-Murphy

• Dentist in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Dentist in New York

• 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.