Organization Active NPI

Mario Tuchman Oral & Maxillofacial Surgery PPLC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1487926200
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
054229 Issued in NY
Legal business name
MARIO TUCHMAN ORAL & MAXILLOFACIAL SURGERY PPLC
Practice address
353 Lexington Ave
Suite #700
New York, NY 10016-0941
Phone
(646) 874-4004
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Mario Tuchman, D.M.D., M.D.NPI 1275556425
Title
President
Phone
(646) 874-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 054229 NY Primary

Addresses

Primary practice location

353 Lexington Ave
Suite #700
New York, NY 10016-0941

Mailing address

200 E 71St St
11-J
New York, NY 10021-5137
Phone (310) 749-8131

Other identifiers 1

IdentifierTypeStateIssuer
03144070MedicaidNY

National Provider Directory

National Provider Directory

Locations

353 Lexington Ave
Rm 700
New York, NY 10016
Phone (646) 874-4004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1487926200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 71ST ST",
            "address_2": "11-J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215137",
            "telephone_number": "310-749-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE",
            "address_2": "SUITE #700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "646-874-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO TUCHMAN ORAL & MAXILLOFACIAL SURGERY PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "TUCHMAN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-874-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "054229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03144070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.