Individual provider Active NPI

Iyman Elashmawy, D.D.S.

  • Periodontics
  • New York, NY
National Provider Identifier
1417191180
Registry record updated Apr 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
053253 Issued in NY
Practice address
222 E 93Rd St
Apt # 41B
New York, NY 10128-3744
Phone
(917) 952-2017
NPI assigned
Apr 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 053253 NY Primary
Dentist 122300000X 053253 NY

Addresses

Primary practice location

222 E 93Rd St
Apt # 41B
New York, NY 10128-3744

Mailing address

222 E 93Rd St
Apt # 41B
New York, NY 10128-3744
Phone (917) 952-2017

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

LicenseStateTypeSpecialty
053253NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240704000000",
    "number": "1417191180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 93RD ST",
            "address_2": "APT # 41B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283744",
            "telephone_number": "917-952-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 93RD ST",
            "address_2": "APT # 41B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283744",
            "telephone_number": "917-952-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELASHMAWY",
        "first_name": "IYMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "053253",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053253",
            "primary": false
        }
    ],
    "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 Apr 26, 2009; 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.