New City Family Dental Group P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053240 Issued in NY

Legal business name

NEW CITY FAMILY DENTAL GROUP P.C.

Practice address

100 Phillips Hill Rd
New City, NY 10956-4134

Phone

(845) 634-6006

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By 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

Mrs. Seo Yeon Yu, DDS

Title

President

Phone

(845) 634-6006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1346753761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NORTH AVE APT 10P",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242412",
            "telephone_number": "646-271-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHILLIPS HILL RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564134",
            "telephone_number": "845-634-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CITY FAMILY DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SEO",
        "authorized_official_middle_name": "YEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-6006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New City, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.