NPIMap

Organization Active NPI

Stewart Brody DDS

  • Dental Clinic/Center
  • Great Neck, NY
National Provider Identifier
1609154806
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
040136 Issued in NY
Legal business name
STEWART BRODY DDS
Practice address
17 Maple Dr
Great Neck, NY 11021-2000
Phone
(516) 482-2215
Fax
(516) 482-5410
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Stewart Brody, DDSNPI 1659462026
Title
Dentist
Phone
(516) 482-2215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 040136 NY Primary

Addresses

Primary practice location

17 Maple Dr
Great Neck, NY 11021-2000

Mailing address

17 Maple Dr
Great Neck, NY 11021-2000
Phone (516) 482-2215

National Provider Directory

National Provider Directory

Locations

17 Maple Dr
Ste 6
Great Neck, NY 11021
Phone (516) 482-2215

Practitioners & affiliated clinicians

Practitioners 2

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": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1609154806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAPLE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212000",
            "telephone_number": "516-482-2215",
            "fax_number": "516-482-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAPLE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212000",
            "telephone_number": "516-482-2215",
            "fax_number": "516-482-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART BRODY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-482-2215",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "040136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.