Active NPI
Bayridge Family Dental Services Inc
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1487115598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059626 | Other | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.