Isha Suri, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

059686 Issued in NY

Practice address

379 5TH Ave
Brooklyn, NY 11215-3303

Phone

(917) 397-1341

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bitesize Pediatric Dentistry of Bushwick

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1356043764
  NPD
• Pediatric Dentistry of Nanuet PLLC

  • Pediatric Dentistry
  • Nanuet, NY
  • NPI 1790219467
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1326426404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051347",
            "telephone_number": "214-796-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153303",
            "telephone_number": "917-397-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Old Nyack Tpke Ste 109",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542449",
            "country_code": "US",
            "telephone_number": "845-507-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURI",
        "first_name": "ISHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059686",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32710",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Oncology Associates
• Surgical Podiatry P.C.
• Surgical Sock Shop II Inc
• Surging Voyage ABA
• Fatima Surhati
• Simrat Suri, M.D.
• Tanupreet Suri, LMHC
• Marileni Suriel
• Natalie Suriel
• Stacey Solange Suriel

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.