Park Ave Pediatric Dental Office

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PARK AVE PEDIATRIC DENTAL OFFICE

Practice address

870 Park Avenue
New York, NY 10075

Phone

(212) 879-6518

Fax

(212) 879-6578

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Dolly Romeo

Title

Office Manager

Phone

(212) 879-6518

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deborah Pilla, Dr. Ann Lambert, Dr. Liraz Spear Other name

Locations

Practitioners 2

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

• Deborah Pilla, D.D.S.

  • Pediatric Dentistry
  • New York, NY
  • NPI 1952674780
  NPD (past)
• Hope Zimmerman, D.D.S.

  • Pediatric Dentistry
  • New York, NY
  • NPI 1215230032
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1417026295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751806",
            "telephone_number": "212-879-6518",
            "fax_number": "212-879-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PARK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-879-6518",
            "fax_number": "212-879-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE PEDIATRIC DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "ROMEO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DOLLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-879-6518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Deborah Pilla, Dr. Ann Lambert, Dr. Liraz Spear",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Park 62 Perio & Perio-Prosthesis PC
• Park 71 Plastic Surgery PC
• Park 76 Hearing LLC
• Park Ambulatory Surgery PC
• Park Ave Maxillofacial Surgery PC
• Park Ave Podiatric Foot Surgery Suite
• Park Ave Reconstructive LLC
• Park Ave.Footcare Obs LLC
• Park Avenue Acoustics, Inc.
• Park Avenue Acupuncture P.C.

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.