NPIMap

Organization Active NPI

E Mena DDS,PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1629285853
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042603 Issued in NY
Legal business name
E MENA DDS,PC
Practice address
600 W 150TH St Apt 2
New York, NY 10031-2465
Phone
(212) 694-2277
Fax
(212) 694-3789
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Anny Florian
Title
Manager
Phone
(212) 694-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 042603 NY Primary

Addresses

Primary practice location

600 W 150TH St Apt 2
New York, NY 10031-2465

Mailing address

600 W 150TH St Apt 2
New York, NY 10031-2465
Phone (212) 694-2277

Other identifiers 4

IdentifierTypeStateIssuer
01708901MedicaidNY
02366076MedicaidNY
01182154MedicaidNY
01632008MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dr Emmanuela Mena Dentist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 W 150th St
Apt 2
New York, NY 10031
Phone (212) 694-2277

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1629285853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 150TH ST APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312465",
            "telephone_number": "212-694-2277",
            "fax_number": "212-694-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 150TH ST APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312465",
            "telephone_number": "212-694-2277",
            "fax_number": "212-694-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MENA DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FLORIAN",
        "authorized_official_first_name": "ANNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-694-2277"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01708901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02366076",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182154",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01632008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 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.