Active NPI
Bronx Dental,P.C.
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1356420970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRONX DENTAL,P.C.
- Practice address
- 2604 3Rd Ave
3Rd Floor
Bronx, NY 10454-1199 - Phone
- (718) 292-3800
- Fax
- (718) 292-3803
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A Symecko
- Title
- Treasurer
- Phone
- (718) 292-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2604 3Rd Ave
3Rd Floor
Bronx, NY 10454-1199
Mailing address
2604 3Rd Ave
3Rd Floor
Bronx, NY 10454-1199
Phone (718) 292-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02661181 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New City, NY
- NPI 1558442145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1356420970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 3RD AVE",
"address_2": "3RD FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104541199",
"telephone_number": "718-292-3800",
"fax_number": "718-292-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 3RD AVE",
"address_2": "3RD FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104541199",
"telephone_number": "718-292-3800",
"fax_number": "718-292-3803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONX DENTAL,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "SYMECKO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "718-292-3800",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02661181",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Bronx Comprehensive Hematology-Oncology, PLLC
- Bronx Comprehensive Hematology-Oncology, PLLC
- Bronx Counseling Center LLC
- Bronx Dekalb Physical Therapy
- Bronx Dental Center Inc
- Bronx Dermatology (Fordham Dermatology)
- Bronx Diagnostic Radiology P.C.
- Bronx Digestive and Liver Disease PC
- Bronx Doctor Office P.C.
- Bronx Drugs 2 Inc (Bronx Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.