Adriana Milagros Aymat Casanova, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

061576 Issued in NY

Practice address

2101 41St Ave
Long Island City, NY 11101-4801

Phone

(718) 784-2240

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Island City, NY
  • NPI 1306954631
  Medicare reassignment NPD
• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1275946550
  NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1366900540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 57TH AVE UNIT 5029",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 41ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014801",
            "telephone_number": "718-784-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYMAT CASANOVA",
        "first_name": "ADRIANA",
        "middle_name": "MILAGROS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alnel Moreno Avendula, RN
• Avenue Pharmacy Inc.
• Alana Avgee
• Oyenmwen Faith Ayanda, RN
• Lydia Ayeni
• Herina Koko Ayot, MHC-LP
• Farhana Azad, MD
• Maryam Khalid Azam
• Munir Azanki Marques, M.D.
• Anna Maria Azeglio-Strananhan

• General Practice Dentistry in Long Island City, NY
• Providers in Long Island City, 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 Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.