Endale Mulat Tefera, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

042545 Issued in NY

Practice address

944 Nostrand Ave
Brooklyn, NY 11225-3053

Phone

(718) 778-3000

Fax

(718) 778-2025

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417004102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 VOSE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070793033",
            "telephone_number": "973-275-0748",
            "fax_number": "718-778-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253053",
            "telephone_number": "718-778-3000",
            "fax_number": "718-778-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFERA",
        "first_name": "ENDALE",
        "middle_name": "MULAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01171255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tee Acupuncture PLLC
• Kang Pin Tee, DACM, LAC, DIPLOM
• Nicole Anne Teehan
• O. Keeley Teemsma, LCSW
• William K. Teen Jr., D.D.S.
• Fekade Tefera, M.D.
• Lemeneh Tefera, M.D.
• Selena Kebede Teferi
• Walter H Tegtmeier, CSW
• Wilson Justin Teh, RN

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• 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.