NPIMap

Organization Active NPI

St Dental

  • Dentist
  • Staten Island, NY
National Provider Identifier
1326204397
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045359-1 Issued in NY
Legal business name
ST DENTAL
Practice address
1432 Hylan Blvd
2ND Floor
Staten Island, NY 10305-1923
Phone
(973) 479-3352
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Ms. Lana Maryash
Title
Office MGR
Phone
(973) 479-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 045359-1 NY Primary

Addresses

Primary practice location

1432 Hylan Blvd
2ND Floor
Staten Island, NY 10305-1923

Mailing address

596 Anderson Ave
Suite 305
Cliffside Park, NJ 07010-1831
Phone (973) 479-3352

National Provider Directory

National Provider Directory
Tax ID family
St Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1432 Hylan Blvd
Fl 2
Staten Island, NY 10305
Phone (718) 980-6868

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1326204397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 305",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "973-479-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 HYLAN BLVD",
            "address_2": "2ND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051923",
            "telephone_number": "973-479-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MARYASH",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "973-479-3352",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.