Organization Active NPI

Arden Dental Services P.C

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1578890414
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044329 Issued in NY
Legal business name
ARDEN DENTAL SERVICES P.C
Practice address
2610 Ocean Pkwy
Suite L1
Brooklyn, NY 11235-7747
Phone
(718) 769-1001
Fax
(718) 648-3143
NPI assigned
Nov 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Miss Stella Gelman, D.D.S
Title
Receptionist
Phone
(718) 769-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 044329 NY Primary

Addresses

Primary practice location

2610 Ocean Pkwy
Suite L1
Brooklyn, NY 11235-7747

Mailing address

2610 Ocean Pkwy
Suite L1
Brooklyn, NY 11235-7747
Phone (718) 769-1001

Other identifiers 1

IdentifierTypeStateIssuer
01360049MedicaidNY

National Provider Directory

National Provider Directory

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": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1578890414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 OCEAN PKWY",
            "address_2": "SUITE L1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357747",
            "telephone_number": "718-769-1001",
            "fax_number": "718-648-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 OCEAN PKWY",
            "address_2": "SUITE L1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357747",
            "telephone_number": "718-769-1001",
            "fax_number": "718-648-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN DENTAL SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "718-769-1001",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01360049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.