Ashfak Uddin

Primary specialty

DentistTaxonomy code 122300000X

License

057445 Issued in NY

Practice address

119 Wickham Ave
Middletown, NY 10940-3714

Phone

(315) 624-6227

Fax

(845) 344-0076

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul Duggal P.C.

  • Dental Clinic/Center
  • Middletown, NY
  • NPI 1073931291
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1558701037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WHITE PLAINS RD APT 328",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104724921",
            "telephone_number": "347-381-0597",
            "fax_number": "845-344-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403714",
            "telephone_number": "315-624-6227",
            "fax_number": "845-344-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "ASHFAK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00384309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hasan Furkan Tug, MD
• Jeremy-Ann Turton, NP
• Victoria Twyman
• Katija Tyson
• Elena Tzouganatos, MHC-LP
• Ruhana Uddin, DO
• Wendy B Ulloa, LCSW
• Faith Ulsh, LPC, LMHC, ACS
• Ulster Physician Medicine Services PC
• Victor Umansky, O.D.

• Dentist in Middletown, NY
• Providers in Middletown, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.