Mahtab Azimi, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

043614 Issued in NY

Practice address

433 E 56TH St
#1D
New York, NY 10022-2432

Phone

(212) 355-2225

Fax

(212) 583-1150

NPI assigned

Feb 10, 2006

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maa7151@direct.nyp.org

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

• Superdent Dentistry PLLC

  dba Sutton Place Dental Associates

  • Dentist
  • New York, NY
  • NPI 1316957509
  NPD (past)
• Sutton Place Dental Specialists

  • Periodontics
  • New York, NY
  • NPI 1144423054
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1336112168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E 56TH ST",
            "address_2": "#1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222432",
            "telephone_number": "212-355-2225",
            "fax_number": "212-583-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 56TH ST",
            "address_2": "#1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222432",
            "telephone_number": "212-355-2225",
            "fax_number": "212-583-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "MAHTAB",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "043614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Resende Azevedo
• Rehan Azhar Munir, MD
• Adaeze Azie, DC
• Gulnoza Azieva, OD, MS
• Mahshid Azimi
• Azimuth Radiology, PC
• Konul Azimzade Azimzade
• Aleha Ashiqeh Aelham Aziz, MD, MPH
• Arezo Aziz, DNP, FNP-BC
• Dawar Aziz, DDS

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.