Organization Active NPI

Manhattan Oral Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bronx, NY
National Provider Identifier
1528201613
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
054241 Issued in NY
Legal business name
MANHATTAN ORAL FACIAL SURGERY LLC
Practice address
6118 Riverdale Ave
Bronx, NY 10471-1009
Phone
(929) 222-3070
Fax
(212) 202-6447
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Dr. Janet C Bodey, D.D.S.
Title
Oral and Maxillofacial Surgeon
Phone
(212) 567-5536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 054241 NY Primary

Addresses

Primary practice location

6118 Riverdale Ave
Bronx, NY 10471-1009

Mailing address

6118 Riverdale Ave
Bronx, NY 10471-1009
Phone (929) 222-3070

National Provider Directory

National Provider Directory

Locations

2403 Grand Concourse
Bronx, NY 10468
Phone (347) 590-8150

6118 Riverdale Ave
Bronx, NY 10471
Phone (203) 998-7470

1241 Castle Hill Ave
Bronx, NY 10462
Phone (347) 590-9917

5209 Broadway
Bronx, NY 10463
Phone (646) 964-5960

3056 3rd Ave
Bronx, NY 10451
Phone (347) 590-9251

8212 37th Ave
Jackson Heights, NY 11372
Phone (347) 738-4775

360 Route 211 E
Middletown, NY 10940
Phone (845) 775-4490

3915 Broadway
New York, NY 10032
Phone (212) 567-5536

2168 3rd Ave
New York, NY 10035
Phone (646) 360-4840

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1528201613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711009",
            "telephone_number": "929-222-3070",
            "fax_number": "212-202-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711009",
            "telephone_number": "929-222-3070",
            "fax_number": "212-202-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN ORAL FACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BODEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORAL AND  MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "212-567-5536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "054241",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2019; 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.