Northern City Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0441781 Issued in NY

Legal business name

NORTHERN CITY DENTAL, P.C.

Practice address

714 Beach 20TH St
Far Rockaway, NY 11691-3502

Phone

(917) 476-6161

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anna Rabichev, DDS

Title

President

Phone

(917) 476-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1366770232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913502",
            "telephone_number": "917-476-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913502",
            "telephone_number": "917-476-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CITY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "RABICHEV",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-476-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0441781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013052455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pnina Nisanov
• Rachel Nisanov
• Zina Niyazova, MSCCCSLP
• Zoryha Ashannti Norfleet
• North Shore Long Island Jewish
• Wanda Michele Norwood
• Ariella B Notis
• Karleska Michelle Nunez Jimenez, MD
• Cindy Gabriella Nunez
• Uchechukwu Emmanuel Nwokoma, MD MPH

• General Practice Dentistry in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.