Organization Active NPI

Bayridge Family Dental Services Inc

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1487115598
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BAYRIDGE FAMILY DENTAL SERVICES INC
Practice address
8440 Fort Hamilton Pkwy
Brooklyn, NY 11209-4806
Phone
(718) 737-2488
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Dr. Mohammad Allaoa
Title
Owner
Phone
(718) 737-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8440 Fort Hamilton Pkwy
Brooklyn, NY 11209-4806

Mailing address

520 79TH St
Brooklyn, NY 11209-3710
Phone (718) 737-2488

Other identifiers 1

IdentifierTypeStateIssuer
059626OtherDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

8440 Fort Hamilton Pkwy
Brooklyn, NY 11209
Phone (718) 833-5789

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1487115598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093710",
            "telephone_number": "718-737-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094806",
            "telephone_number": "718-737-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYRIDGE FAMILY DENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "ALLAOA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-737-2488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "059626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.