NPIMap

Organization Active NPI

Baldwin Dental Arts PLLC

  • Dentist
  • North Baldwin, NY
National Provider Identifier
1427419563
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054033 Issued in NY
Legal business name
BALDWIN DENTAL ARTS PLLC
Practice address
1700 Grand Ave
North Baldwin, NY 11510-1801
Phone
(516) 379-3204
Fax
(516) 379-3209
NPI assigned
Mar 17, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Alicia F Andreula, 054033
Title
Partner
Phone
(917) 418-8384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 032402 NY
Dentist 122300000X 054033 NY Primary

Addresses

Primary practice location

1700 Grand Ave
North Baldwin, NY 11510-1801

Mailing address

1700 Grand Ave
North Baldwin, NY 11510-1801
Phone (516) 379-3204

National Provider Directory

National Provider Directory

Locations

1700 Grand Ave
North Baldwin, NY 11510
Phone (516) 379-3204

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1427419563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101801",
            "telephone_number": "516-379-3204",
            "fax_number": "516-379-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101801",
            "telephone_number": "516-379-3204",
            "fax_number": "516-379-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "ANDREULA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-418-8384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "054033"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032402",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.