New Smile Astoria Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEW SMILE ASTORIA DENTISTRY

Practice address

3018 31St Ave
Astoria, NY 11106-2405

Phone

(718) 806-1331

NPI assigned

Apr 23, 2020

Last updated

Apr 23, 2020By 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

Yaclyn Cuevas

Title

Manager

Phone

(917) 601-7058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Smile Astoria Dentistry Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia M Izquierdo, D.D.S

  • Dentist
  • Bronx, NY
  • NPI 1972947349
  NPD

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1376163931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062405",
            "telephone_number": "718-806-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062405",
            "telephone_number": "718-806-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE ASTORIA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "YACLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-601-7058"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04227950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Smile Astoria Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brenda Nelson X
• Jennifer Nelson
• Maria Neocleous, M.SED
• Fadil Nero, PHARMD
• Neuropsychological Services of Astoria PLLC
• New York Anesthesia, PC
• New York City Health & Hospitals Corporation (Correctional Health Services)
• New York Comprehensive Medical PC
• New York Consultation Medical
• New York Internal Medicine PC

• General Practice Dentistry in Astoria, NY
• Providers in Astoria, 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 Apr 23, 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.