Active NPI
Kristie Mukherjee, DDS
- Dentist
- New York, NY
National Provider Identifier
1407068869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051146-1
- Practice address
- 164 Madison Ave FL 3
New York, NY 10016-5411 - Phone
- (212) 685-2890
- NPI assigned
- May 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 051146-1 | NY | Primary |
Addresses
Primary practice location
164 Madison Ave FL 3
New York, NY 10016-5411
Mailing address
170 Undercliff Ave Apt 3
Edgewater, NJ 07020-1125
Phone (201) 917-5717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051146-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1407068869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 UNDERCLIFF AVE APT 3",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201125",
"telephone_number": "201-917-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MADISON AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165411",
"telephone_number": "212-685-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKHERJEE",
"first_name": "KRISTIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-05",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051146-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.