Active NPI
Hira Faisal
- Dentist
- Suffern, NY
National Provider Identifier
1487126959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061135
- Practice address
- 29 N Airmont Rd # 2
Suffern, NY 10901-4242 - Phone
- (845) 512-1219
- NPI assigned
- Dec 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858737 | MA | |
| Dentist | 122300000X | 061135 | NY | Primary |
Addresses
Primary practice location
29 N Airmont Rd # 2
Suffern, NY 10901-4242
Mailing address
29 N Airmont Rd Ste 2
Suffern, NY 10901-4242
Phone (845) 512-1219
Other practice location 1
1795 Main St Ste 212
Springfield, MA 01103-1015
Phone (413) 507-0115
Other practice location 2
760 Broadway # 2C319
Brooklyn, NY 11206-5317
Phone (718) 963-8310
Other practice location 3
760 Broadway Rm 10A218
Brooklyn, NY 11206-5317
Phone (718) 963-5765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858737 | MA | MD | Dentist |
| 061135 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1487126959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 N AIRMONT RD STE 2",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014242",
"telephone_number": "845-512-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N AIRMONT RD # 2",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014242",
"telephone_number": "845-512-1219"
}
],
"practiceLocations": [
{
"address_1": "1795 Main St Ste 212",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011031015",
"country_code": "US",
"telephone_number": "413-507-0115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Broadway # 2C319",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065317",
"country_code": "US",
"telephone_number": "718-963-8310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Broadway Rm 10A218",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065317",
"country_code": "US",
"telephone_number": "718-963-5765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAISAL",
"first_name": "HIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858737",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.