Individual provider Active NPI

Pamela Lauren Hunte, DDS

  • Dentist
  • New York, NY
National Provider Identifier
1528159373
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045778-1 Issued in NY
Practice address
275 Madison Ave
Suite 1818
New York, NY 10016-1101
Phone
(212) 682-2892
Fax
(212) 661-6608
NPI assigned
Sep 27, 2006
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045778-1 NY Primary

Addresses

Primary practice location

275 Madison Ave
Suite 1818
New York, NY 10016-1101

Mailing address

275 Madison Ave
Suite 1818
New York, NY 10016-1101
Phone (212) 682-2892

Other identifiers 1

IdentifierTypeStateIssuer
84-1631327OtherNYFEDERAL TAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409000863 NY Order and Referring Only - Other (Non-Physician) 9234457953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045778-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1528159373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE",
            "address_2": "SUITE 1818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "212-682-2892",
            "fax_number": "212-661-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE",
            "address_2": "SUITE 1818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "212-682-2892",
            "fax_number": "212-661-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTE",
        "first_name": "PAMELA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045778-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "84-1631327",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.