NPIMap

Organization Active NPI

Park 56 Dental Group P.C.

  • Dentist
  • New York, NY
National Provider Identifier
1639282718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PARK 56 DENTAL GROUP P.C.
Practice address
120 E 56TH St
Suite 610
New York, NY 10022-3607
Phone
(212) 826-2322
Fax
(212) 935-3892
NPI assigned
Aug 16, 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
Mrs. Jennifer Vitulli
Title
Office Administrator
Phone
(212) 826-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

120 E 56TH St
Suite 610
New York, NY 10022-3607

Mailing address

120 E 56TH St
Suite 610
New York, NY 10022-3607
Phone (212) 826-2322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639282718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST",
            "address_2": "SUITE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223607",
            "telephone_number": "212-826-2322",
            "fax_number": "212-935-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST",
            "address_2": "SUITE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223607",
            "telephone_number": "212-826-2322",
            "fax_number": "212-935-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK 56 DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITULLI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "212-826-2322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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.