Organization Active NPI

Ny Gentle Dental PC

  • Dental Clinic/Center
  • Baldwin, NY
National Provider Identifier
1316835739
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NY GENTLE DENTAL PC
Doing business as
Legacy Dental
Practice address
820 Merrick Rd
Baldwin, NY 11510-3354
Phone
(516) 584-0100
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Ester Fazylova, DDSNPI 1356909469
Title
General Dentist
Phone
(646) 510-3787

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

820 Merrick Rd
Baldwin, NY 11510-3354

Mailing address

6213 Cromwell Cres
Rego Park, NY 11374-3937
Phone (646) 510-3787

Other names 1

  • Legacy Dental Doing business as

National Provider Directory

National Provider Directory

Locations

820 Merrick Rd
Baldwin, NY 11510
Phone (516) 584-0100

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": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1316835739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 CROMWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743937",
            "telephone_number": "646-510-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103354",
            "telephone_number": "516-584-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY GENTLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "FAZYLOVA",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "646-510-3787",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.