NPIMap

Organization Active NPI

West 94TH Street Dental Associates

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1346377447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039468 Issued in NY
Legal business name
WEST 94TH STREET DENTAL ASSOCIATES
Practice address
66 W 94TH St
New York, NY 10025-7137
Phone
(212) 662-4700
Fax
(212) 662-4702
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Solomon Blisko, D.D.S
Title
Owner
Phone
(212) 662-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 039468 NY Primary

Addresses

Primary practice location

66 W 94TH St
New York, NY 10025-7137

Mailing address

66 W 94TH St
New York, NY 10025-7137
Phone (212) 662-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346377447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257137",
            "telephone_number": "212-662-4700",
            "fax_number": "212-662-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257137",
            "telephone_number": "212-662-4700",
            "fax_number": "212-662-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 94TH STREET DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLISKO",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-662-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.