Active NPI
Metropolitan Dental Associates DDS PC
- General Practice Dentistry
- Jamaica, NY
National Provider Identifier
1316908767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 029752
- Legal business name
- METROPOLITAN DENTAL ASSOCIATES DDS PC
- Practice address
- 88-01 Parsons Blvd
Jamaica, NY 11432-3841 - Phone
- (718) 526-3400
- Fax
- (718) 523-3355
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Irving Cohen, DDS
- Title
- President
- Phone
- (718) 526-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 029752 | NY | Primary |
Addresses
Primary practice location
88-01 Parsons Blvd
Jamaica, NY 11432-3841
Mailing address
88-01 Parsons Blvd
Jamaica, NY 11432-3841
Phone (718) 526-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191219000215 | NY | Part B Supplier - Clinic/Group Practice | 9739513029 |
Receives reassigned benefits from 2 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1427017847
O20191219000215
-
- General Practice Dentistry
- New York, NY
- NPI 1548229958
O20191219000215
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1740249168
O20191219000215
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575244800000",
"number": "1316908767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88-01 PARSONS BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323841",
"telephone_number": "718-526-3400",
"fax_number": "718-523-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88-01 PARSONS BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323841",
"telephone_number": "718-526-3400",
"fax_number": "718-523-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN DENTAL ASSOCIATES DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2019-12-02",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "IRVING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-526-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "029752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.