Active NPI
Vered Maslavi, DDS, PC
- Dental Clinic/Center
- Bayside, NY
National Provider Identifier
1629265053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 49740
- Legal business name
- VERED MASLAVI, DDS, PC
- Practice address
- 4505 Francis Lewis Blvd
Bayside, NY 11361-3042 - Phone
- (718) 279-0900
- Fax
- (718) 279-0929
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vered Maslavi, DDS
- Title
- Dentist, Director
- Phone
- (718) 279-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 49740 | NY | Primary |
Addresses
Primary practice location
4505 Francis Lewis Blvd
Bayside, NY 11361-3042
Mailing address
2220 Wisteria Dr
Suite 208
Snellville, GA 30078-2656
Phone (678) 252-2137
National Provider Directory
National Provider Directory- Tax ID family
- Vered Maslavi DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Bayside, NY
- NPI 1013132554
Locations
4505 Francis Lewis Blvd
Flushing, NY 11361
Phone (718) 229-0055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1629265053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 WISTERIA DR",
"address_2": "SUITE 208",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782656",
"telephone_number": "678-252-2137",
"fax_number": "678-336-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613042",
"telephone_number": "718-279-0900",
"fax_number": "718-279-0929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERED MASLAVI, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "MASLAVI",
"authorized_official_first_name": "VERED",
"authorized_official_title_or_position": "DENTIST, DIRECTOR",
"authorized_official_telephone_number": "718-279-0900",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "49740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.