Michael Y Ivry DDS PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

047962 Issued in NY

Legal business name

MICHAEL Y IVRY DDS PC

Practice address

2550 Seagirt Blvd
Far Rockaway, NY 11691

Phone

(718) 327-2147

NPI assigned

May 30, 2018

Last updated

May 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Yehuda Ivry, DDS

Title

Owner

Phone

(631) 252-2076

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1336631035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 5TH AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161538",
            "telephone_number": "631-252-2076",
            "fax_number": "516-596-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-327-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Y IVRY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "IVRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "YEHUDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-252-2076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "047962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154509503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Meyers, DO
• Jennifer Meza, CCC-SLP
• Kayla Mezei
• Michael Mak Medical PC
• Michael Melnicke (Rockaway Care Center)
• Shulamis Devorah Michael
• Yocheved R Michaeli, OTR/L
• Michel LCSW Therapy Services PLLC
• Lesly Gracia Michel, MD
• Denise Middleton-Brown, NP

• Oral & Maxillofacial Surgery (D.M.D.) in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.