Hayat M Ezzat, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037996 Issued in NY

Practice address

2702 Ditmars Blvd
Long Island City, NY 11105-2704

Phone

(718) 728-7200

Fax

(718) 728-8688

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477638641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 DITMARS BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111052704",
            "telephone_number": "718-728-7200",
            "fax_number": "718-728-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 DITMARS BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111052704",
            "telephone_number": "718-728-7200",
            "fax_number": "718-728-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZAT",
        "first_name": "HAYAT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00835709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christianah Adetola Fadipe
• Katie Fagan, RN
• Fe Eliza Fainsan
• Amy Falkowitz

• General Practice Dentistry in Long Island City, NY
• Providers in Long Island City, 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 Jul 8, 2007; 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.