Manhattan Maxillofacial Surgery Group

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

048825-1 Issued in NY

Legal business name

MANHATTAN MAXILLOFACIAL SURGERY GROUP

Practice address

45 W 54TH St
Suite 1E
New York, NY 10019-5404

Phone

(212) 245-5801

Fax

(212) 977-9486

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Antonio L Del Valle, DMD, MD

Title

Oral and Maxillofacial Surgeon

Phone

(212) 245-5801

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Jay Wasserman, D.D.S.

  • Periodontics
  • New York, NY
  • NPI 1740394691
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1629233358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 54TH ST",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195404",
            "telephone_number": "212-245-5801",
            "fax_number": "212-977-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 54TH ST",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195404",
            "telephone_number": "212-245-5801",
            "fax_number": "212-977-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN MAXILLOFACIAL SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "212-245-5801",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "048825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manhattan Integrative Psychiatry P.C.
• Manhattan Internal Medicine Associates, PC
• Manhattan Internal Medicine PLLC
• Manhattan Interventional Radiology
• Manhattan Marriage and Family Therapy
• Manhattan Maxillofacial Surgery, PLLC
• Manhattan Medical & Psychiatric Services, PC
• Manhattan Medical Arts, PLLC
• Manhattan Medical Billing
• Manhattan Medical Health Associates PC

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.