NPIMap

Organization Active NPI

Dr. Emmanuela Mena Dentist , P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1396958922
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042603 Issued in NY
Legal business name
DR. EMMANUELA MENA DENTIST , P.C.
Practice address
801 W 181St St Apt 9
New York, NY 10033-4518
Phone
(212) 740-4040
Fax
(212) 740-1155
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Anny Florian
Title
General Manager
Phone
(212) 740-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 042603 NY Primary

Addresses

Primary practice location

801 W 181St St Apt 9
New York, NY 10033-4518

Mailing address

801 W 181St St Apt 9
New York, NY 10033-4518
Phone (212) 740-4040

Other identifiers 4

IdentifierTypeStateIssuer
01182154MedicaidNY
01632008MedicaidNY
01708901MedicaidNY
02366076MedicaidNY

Other names 1

  • E MENA DDS PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Emmanuela Mena Dentist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 W 181st St
Apt 9
New York, NY 10033
Phone (212) 740-4040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1396958922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 181ST ST APT 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334518",
            "telephone_number": "212-740-4040",
            "fax_number": "212-740-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 181ST ST APT 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334518",
            "telephone_number": "212-740-4040",
            "fax_number": "212-740-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EMMANUELA MENA DENTIST , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "FLORIAN",
        "authorized_official_first_name": "ANNY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "212-740-4040"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182154",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01632008",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01708901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02366076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E MENA DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.