NPIMap

Organization Active NPI

Alejandro Williams Dental Office PC

  • Dental Clinic/Center
  • Bronx, NY
National Provider Identifier
1508037466
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
045560-1 Issued in NY
Legal business name
ALEJANDRO WILLIAMS DENTAL OFFICE PC
Practice address
1624 University Ave
Bronx, NY 10453
Phone
(718) 294-3725
Fax
(718) 466-0782
NPI assigned
Mar 19, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Alejandro Leonel Williams, DDSNPI 1073502217
Title
Dentist
Phone
(718) 294-3725

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
Dental Clinic/Center 261QD0000X 045560-1 NY Primary

Addresses

Primary practice location

1624 University Ave
Bronx, NY 10453

Mailing address

109 East 167 St
Bronx, NY 10452
Phone (718) 294-3725

Other identifiers 1

IdentifierTypeStateIssuer
01549182MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610001766 NY Part B Supplier - Clinic/Group Practice 9739567231 Receives reassigned benefits from 21 practitioners
Practice locations: Bronx, NY; New Rochelle, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

109 E 167th St
Bronx, NY 10452
Phone (516) 356-6381

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1508037466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EAST 167 ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-294-3725",
            "fax_number": "718-466-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10453",
            "telephone_number": "718-294-3725",
            "fax_number": "718-466-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO WILLIAMS DENTAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "LEONEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-294-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "045560-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01549182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.