Queens Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

040975 Issued in NY

Legal business name

QUEENS DENTAL GROUP

Practice address

11148 157TH St
Jamaica, NY 11433-3726

Phone

(703) 870-1415

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael De Lorenzo, DMD

Title

Dentist

Phone

(703) 870-1415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1568866903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11148 157TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333726",
            "telephone_number": "703-870-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11148 157TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333726",
            "telephone_number": "703-870-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "DE LORENZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-870-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "040975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Quamruzzaman, M.D.
• Teresa Quarles, M.S MHC
• Deborah Quashie
• Queens Centers for Progress (UCP of Queens)
• Queens Community Express Pharmacy Inc
• Queens Dental PC
• Queens Hospital
• Queens Hospital Center
• Queens Hosptial Center
• Queens Medical Care PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.