Kamiar Vaez-Ghaemi

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

063341 Issued in NY

Practice address

107 S Broadway
Yonkers, NY 10701-4006

Phone

(914) 378-7848

NPI assigned

Mar 5, 2022

Last updated

Jul 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kamiar.vaezghaemi.p1@direct.ezramedical.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentistry for Children at Peekskill PC

  dba Dentistry for Children PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peekskill, NY
  • NPI 1912576398
  NPD (past)
• Tiny Teeth of Lakewood PC

  • Pediatric Dentistry
  • Lakewood, NJ
  • NPI 1104642669
  NPD (past)

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1477200897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FILLMORE PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053706",
            "telephone_number": "240-477-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 N Division St",
            "address_purpose": "LOCATION",
            "city": "Peekskill",
            "state": "NY",
            "postal_code": "105662944",
            "country_code": "US",
            "telephone_number": "914-630-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 NJ-70 #8",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "08701",
            "country_code": "US",
            "telephone_number": "848-245-0779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAEZ-GHAEMI",
        "first_name": "KAMIAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acabar Uy, RN
• Michele A Vaca, MD
• Donato Vaccaro
• Nicole Vaccaro
• Shawn Vadakat, R.PH
• Minal Sudhir Vaidya, MD
• Sudhir Purushottam Vaidya, MD
• Shrey Vaishnani, DPM, MS
• Piedad Valderrama, PT
• Barbara Valdes

• Pediatric Dentistry in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.