NPIMap

Organization Active NPI

Granger & Sahasra

  • Endodontics
  • Garden City, NY
National Provider Identifier
1386135051
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
GRANGER & SAHASRA
Practice address
1103 Stewart Avenue Suite 104
Garden City, NY 11530
Phone
(516) 222-1822
Fax
(516) 227-5361
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Dr. Ashish Sahusrabudhe, DMD
Title
Owner
Phone
(516) 222-1822

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NY Primary
Oral and Maxillofacial Pathology Dentistry 1223P0106X NY
Periodontics 1223P0300X NY

Addresses

Primary practice location

1103 Stewart Avenue Suite 104
Garden City, NY 11530

Mailing address

1103 Stewart Avenue Suite 104
Garden City, NY 11530
Phone (516) 222-1822

National Provider Directory

National Provider Directory

Locations

1103 Stewart Ave
Ste 104
Garden City, NY 11530
Phone (516) 222-1822

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1386135051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVENUE SUITE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-222-1822",
            "fax_number": "516-227-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVENUE SUITE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-222-1822",
            "fax_number": "516-227-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER & SAHASRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "SAHUSRABUDHE",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-222-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.