Active NPI
Mikhail Babayan, DMD
- Prosthodontics
- Staten Island, NY
National Provider Identifier
1336778638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 063430-01
- Practice address
- 3987 Richmond Ave
Staten Island, NY 10312-5112 - Phone
- (718) 776-4159
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 063430-01 | NY | Primary |
Addresses
Primary practice location
3987 Richmond Ave
Staten Island, NY 10312-5112
Mailing address
6245 Amboy Rd Apt 1
Staten Island, NY 10309-3138
Phone (917) 742-9952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063430-01 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1336778638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 AMBOY RD APT 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093138",
"telephone_number": "917-742-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3987 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125112",
"telephone_number": "718-776-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABAYAN",
"first_name": "MIKHAIL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "063430-01",
"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 Mar 29, 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.