Individual provider Active NPI

Pushpa Naik

  • General Practice Dentistry
  • Mount Vernon, NY
National Provider Identifier
1427226679
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043924-1 Issued in NY
Practice address
105 Stevens Ave Ste 508
Mount Vernon, NY 10550-2683
Phone
(914) 667-8899
Fax
(914) 667-2440
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043924-1 NY Primary

Addresses

Primary practice location

105 Stevens Ave Ste 508
Mount Vernon, NY 10550-2683

Mailing address

105 Stevens Ave Ste 508
Mount Vernon, NY 10550-2683
Phone (914) 667-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821002368 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709004443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043924NYMDPharmacist
043924-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1427226679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 508",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502683",
            "telephone_number": "914-667-8899",
            "fax_number": "914-667-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 508",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502683",
            "telephone_number": "914-667-8899",
            "fax_number": "914-667-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "PUSHPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043924-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.