Oral and Maxillofacial Surgery of Queens

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

051861 Issued in NY

Legal business name

ORAL AND MAXILLOFACIAL SURGERY OF QUEENS

Practice address

3775 103Rd St
Corona, NY 11368-1979

Phone

(718) 565-5005

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Arian Sadeghi

Title

Manager

Phone

(718) 565-5005

Specialties & licenses 1

Addresses

Tax ID family

Oral and Maxillofacial Surgery of Queens2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oral & Maxillofacial Surgery of Queens, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson Heights, NY
  • NPI 1205224631
  NPD tax ID

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1487935391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681979",
            "telephone_number": "718-565-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY OF QUEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "ARIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-565-5005",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Family Pharmacy Inc.
• Chinwe Onodu, RN
• Barifi Opare-Addo, MD
• Ophthalmology Specialist of Queens PLLC
• Ophthalmology Specialists of New York LLC
• Charisse Dianne Oralde, PT
• Katherine A Orellana, M.A., CCC-SLP
• Kenneth Osterman
• Michelle Otero
• Wendy Ou-Yang

• Oral and Maxillofacial Surgery (Dentist) in Corona, NY
• Providers in Corona, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.