Manor Dental of Staten Island PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37375 Issued in NY

Legal business name

MANOR DENTAL OF STATEN ISLAND PC

Practice address

979 Willowbrook Rd
Staten Island, NY 10314-6520

Phone

(718) 698-1885

Fax

(718) 698-8499

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Asadorian, D.M.D.

Title

President

Phone

(718) 698-1885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Melissa Israel, D.D.S.

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1205044021
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1447422076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 WILLOWBROOK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146520",
            "telephone_number": "718-698-1885",
            "fax_number": "718-698-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 WILLOWBROOK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146520",
            "telephone_number": "718-698-1885",
            "fax_number": "718-698-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR DENTAL OF STATEN ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "ASADORIAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-698-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Emilio Mannino, FNP-BC
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• Mannix Family Market at Veterans Road LLC (Shoprite Pharmacy)
• Namala Luke Manohar, MD
• Michael G Manolios, M.D.
• Manor Road Physical Therapy PC
• Marseil Mansi
• Arubah Mansoor
• Pierre Mansor, PHARMD
• Ammar Awad Mansour, MD

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.