Active NPI
Mario Tuchman Oral & Maxillofacial Surgery PPLC
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
National Provider Identifier
1487926200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 054229
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03144070 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
- NPI 1275556425
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.