Individual provider Active NPI

Kirk Antonio Finlay, DDS

  • Ambulatory Surgical Clinic/Center
  • Bronx, NY
National Provider Identifier
1568848596
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Practice address
234 E 149TH St
Christine Emmanuel - Suite 2A8
Bronx, NY 10451-5504
Phone
(718) 579-5692
Fax
(718) 579-4781
NPI assigned
Jul 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059011 NY
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

234 E 149TH St
Christine Emmanuel - Suite 2A8
Bronx, NY 10451-5504

Mailing address

234 E 149TH St
Christine Emmanuel - Suite 2A8
Bronx, NY 10451-5504
Phone (718) 579-5692

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612000037 NY Practitioner - Dentist 9335681873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059011NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Syracuse Community Health Center CurrentSince Apr 2, 2024 Accepting new patients

Locations

819 S Salina St
Syracuse, NY 13202

930 S Salina St
Syracuse, NY 13202
Phone (315) 234-5960

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kfinlay736048@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1568848596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "address_2": "CHRISTINE EMMANUEL - SUITE 2A8",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5692",
            "fax_number": "718-579-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "address_2": "CHRISTINE EMMANUEL - SUITE 2A8",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5692",
            "fax_number": "718-579-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINLAY",
        "first_name": "KIRK",
        "middle_name": "ANTONIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059011",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.