Active NPI
Family Choice Dental Care P.C.
- Dentist
- Ridgewood, NY
National Provider Identifier
1639448327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 046932
- Legal business name
- FAMILY CHOICE DENTAL CARE P.C.
- Practice address
- 6622 Fresh Pond Rd
Ridgewood, NY 11385-3305 - Phone
- (718) 576-3371
- Fax
- (718) 576-3381
- NPI assigned
- Dec 25, 2011
- 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
- Dr. Samih A Attia, D.M.D.
- Title
- President
- Phone
- (718) 576-3371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 046932 | NY | Primary |
Addresses
Primary practice location
6622 Fresh Pond Rd
Ridgewood, NY 11385-3305
Mailing address
6622 Fresh Pond Rd
Ridgewood, NY 11385-3305
Phone (718) 576-3371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239086 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
6622 Fresh Pond Rd
Ridgewood, NY 11385
Phone (516) 457-4539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324771200000",
"number": "1639448327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853305",
"telephone_number": "718-576-3371",
"fax_number": "718-576-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6622 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853305",
"telephone_number": "718-576-3371",
"fax_number": "718-576-3381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CHOICE DENTAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-25",
"last_updated": "2011-12-25",
"status": "A",
"authorized_official_last_name": "ATTIA",
"authorized_official_first_name": "SAMIH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-576-3371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "046932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239086",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
- Expeditrans LLC
- Eye Care Optical of Ny Inc (Eye Care Optical)
- Eyebiznet, Inc. (Ridgewood Opticians)
- Eyecare Advantage, Inc. (Eyecare Vision Services)
- Matthew Fama
- Vivian W Fan
- Gerges Fanous
- Maria Michelle Fareri, M.S., CCC-SLP
- Madison Rae Farr, PMHNP
- Farzin Farokhzadeh DDS PC (patient friendly dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.