Dental Care of Ridgewood, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054039 Issued in NY

Legal business name

DENTAL CARE OF RIDGEWOOD, P.C.

Practice address

5647 Myrtle Ave
Ridgewood, NY 11385-4744

Phone

(718) 417-6300

Fax

(718) 417-3535

NPI assigned

Jan 25, 2009

Last updated

Jan 25, 2009By 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. Mariya Mamkin, DDSNPI 1497911861

Title

Responsible Party

Phone

(718) 417-6300

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariya Mamkin, D.D.S.

  • Dentist
  • Ridgewood, NY
  • NPI 1497911861
  NPD (past) Authorized official
• Diana P Campos, D.D.S.

  • Dentist
  • Ridgewood, NY
  • NPI 1568895886
  NPD (past)
• Eric A Poznyansky, DDS

  • Dentist
  • Riverdale, NY
  • NPI 1801944988
  NPD (past)

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232841600000",
    "number": "1578701835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854744",
            "telephone_number": "718-417-6300",
            "fax_number": "718-417-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854744",
            "telephone_number": "718-417-6300",
            "fax_number": "718-417-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF RIDGEWOOD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A",
        "authorized_official_last_name": "MAMKIN",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "RESPONSIBLE PARTY",
        "authorized_official_telephone_number": "718-417-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Delgado
• Denis E Blumberg LCSW-R, P.C.
• Denis E Blumberg LCSW-R, P.C.
• Denis Eduardo Blumberg, LCSW, P.C.
• Dental Artes LLC
• Bhavna Rajesh Devnani, PT
• Sagar Dhandia, OD
• Diamond District Corneal, P.C. (Cohen Eye)
• Joseph Dibenedetto, LMSW
• Lauren Dibiase

• Dental Clinic/Center in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; 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.