Individual provider Active NPI

Binod Verma, DDS, FAGD

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1376758516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037195 Issued in NY
Practice address
5904 Junction Blvd
Suite C1
Elmhurst, NY 11373-5156
Phone
(718) 699-8268
Fax
(718) 699-8998
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037195 NY Primary

Addresses

Primary practice location

5904 Junction Blvd
Suite C1
Elmhurst, NY 11373-5156

Mailing address

59-04 Junction Blvd
Suite C1
Rego Park, NY 11373
Phone (718) 699-8268

Other identifiers 1

IdentifierTypeStateIssuer
00763066MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
037195NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376758516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59-04 JUNCTION BLVD",
            "address_2": "SUITE C1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-699-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 JUNCTION BLVD",
            "address_2": "SUITE C1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-699-8268",
            "fax_number": "718-699-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "BINOD",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00763066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.