Organization Active NPI

Corona Family Dental P.C.

  • General Practice Dentistry
  • Corona, NY
National Provider Identifier
1447557004
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORONA FAMILY DENTAL P.C.
Practice address
3731 103Rd St
Corona, NY 11368-1952
Phone
(718) 507-1500
Fax
(718) 507-1755
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Jeffrey Sklarin
Title
President
Phone
(718) 507-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3731 103Rd St
Corona, NY 11368-1952

Mailing address

3731 103Rd St
Corona, NY 11368-1979
Phone (718) 507-1500

National Provider Directory

National Provider Directory

Locations

11 Bay Shore Rd
Bay Shore, NY 11706
Phone (631) 586-6300

16345 Crossbay Blvd
Howard Beach, NY 11414
Phone (718) 641-3838

35 Gerard St
#B
Huntington, NY 11743
Phone (631) 812-5000

35 Gerard St
Huntington, NY 11743
Phone (631) 812-5000

1 Dakota Dr
Ste 115
New Hyde Park, NY 11042

194 Market St
Ste 2180
Yonkers, NY 10710

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1447557004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681979",
            "telephone_number": "718-507-1500",
            "fax_number": "718-507-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681952",
            "telephone_number": "718-507-1500",
            "fax_number": "718-507-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "SKLARIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-507-1500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.