Aspen Dental of Central New York, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

047142-1 Issued in NY

Legal business name

ASPEN DENTAL OF CENTRAL NEW YORK, PLLC

Practice address

124 Northern Lights Dr
Syracuse, NY 13212-4108

Phone

(315) 454-2411

Fax

(315) 455-2412

NPI assigned

Oct 30, 2009

Last updated

Nov 6, 2009By 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. Isam F Hamati, DDSNPI 1679656730

Title

Managing Member

Phone

(315) 455-2411

Specialties & licenses 1

Addresses

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.

• Isam Hamati, DDS

  • Dentist
  • Cicero, NY
  • NPI 1679656730
  Authorized official Same address or phone

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1477889178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307",
            "telephone_number": "315-454-6000",
            "fax_number": "315-454-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NORTHERN LIGHTS DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124108",
            "telephone_number": "315-454-2411",
            "fax_number": "315-455-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL OF CENTRAL NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "HAMATI",
        "authorized_official_first_name": "ISAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "315-455-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayyed Jalawan Asjad, M.D.
• Keanna Askew
• Muhammad Haseeb Aslam
• Nadeem Aslam, MD
• Sunny P Aslam, MD
• Julie Marie Assaf, LCSW
• Associated Healthcare Systems Inc
• Associated Healthcare Systems Inc
• Associated Healthcare Systems, Inc
• Associated Hospitalists of Crouse LLC

• Dentist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.