New York Oral & Facial Surgery, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

053655 Issued in NY

Legal business name

NEW YORK ORAL & FACIAL SURGERY, L.L.C.

Practice address

970 Park Ave
New York, NY 10028-0324

Phone

(212) 988-6725

Fax

(212) 988-6726

NPI assigned

Dec 3, 2013

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ruben Cohen, DDS

Title

President

Phone

(212) 988-6725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1639500440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280324",
            "telephone_number": "212-988-6725",
            "fax_number": "212-988-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280324",
            "telephone_number": "212-988-6725",
            "fax_number": "212-988-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281211",
            "country_code": "US",
            "telephone_number": "212-988-6725",
            "fax_number": "212-988-6726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "491 Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119683004",
            "country_code": "US",
            "telephone_number": "212-988-6725",
            "fax_number": "212-988-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK ORAL & FACIAL SURGERY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-988-6725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "053655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.