Organization Active NPI

First Class Family Dentistry of New York LLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1639250541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FIRST CLASS FAMILY DENTISTRY OF NEW YORK LLC
Practice address
608 5TH Ave Ste 808
New York, NY 10020-2303
Phone
(212) 245-5817
Fax
(212) 664-1950
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anca Sandulescu, OFFICE M,ANAGER
Title
Office Manager
Phone
(516) 581-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

608 5TH Ave Ste 808
New York, NY 10020-2303

Mailing address

608 5TH Ave
New York, NY 10020-2303
Phone (212) 245-5817

National Provider Directory

National Provider Directory

Locations

608 5th Ave
New York, NY 10020

608 5th Ave
Ste 808
New York, NY 10020
Phone (212) 245-5817

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639250541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202303",
            "telephone_number": "212-245-5817",
            "fax_number": "212-664-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 5TH AVE STE 808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202303",
            "telephone_number": "212-245-5817",
            "fax_number": "212-664-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS FAMILY DENTISTRY OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDULESCU",
        "authorized_official_first_name": "ANCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-581-6624",
        "authorized_official_credential": "OFFICE M,ANAGER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.