Organization Active NPI

Jyoti Srivastava DDS & Robert Castracane DMD LLC

Doing business as EastSide Dental Medicine

  • Public Health Dentistry
  • New York, NY
National Provider Identifier
1588022297
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
JYOTI SRIVASTAVA DDS & ROBERT CASTRACANE DMD LLC
Doing business as
EastSide Dental Medicine
Practice address
595 Madison Ave FL 27
New York, NY 10022-1649
Phone
(212) 758-9498
NPI assigned
Feb 9, 2016
Last updated
Aug 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Jyoti Srivastava, MS,DDSNPI 1780894089
Title
Ceo
Phone
(212) 758-9498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

595 Madison Ave FL 27
New York, NY 10022-1649

Mailing address

595 Madison Ave FL 27
New York, NY 10022-1649
Phone (212) 758-9498

Other names 1

  • EastSide Dental Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

595 Madison Ave
Fl 27
New York, NY 10022
Phone (212) 354-4830

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1588022297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MADISON AVE FL 27",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221649",
            "telephone_number": "212-758-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MADISON AVE FL 27",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221649",
            "telephone_number": "212-758-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTI SRIVASTAVA DDS & ROBERT CASTRACANE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-758-9498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS,DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastSide Dental Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.