Active NPI
Cristian Secareanu, D.D.S.
- General Practice Dentistry
- Woodside, NY
National Provider Identifier
1649484775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052507
- Practice address
- 5903 Roosevelt Ave
Woodside, NY 11377-3546 - Phone
- (718) 651-7700
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | A052507-01 | NY | |
| General Practice Dentistry | 1223G0001X | 052507 | NY | Primary |
Addresses
Primary practice location
5903 Roosevelt Ave
Woodside, NY 11377-3546
Mailing address
5903 Roosevelt Ave FL 2
Woodside, NY 11377-3546
Phone (718) 651-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A052507-01 | NY | MD | Acupuncturist |
| 052507 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csyies LLC | General Practice | Current | Accepting new patients |
| C&O Dental,PLLC. | Past | Accepting new patients | |
| Woodside Family Dental PLLC | General Practice | Past | Accepting new patients |
Locations
5903 Roosevelt Ave
Fl 2
Woodside, NY 11377
Phone (718) 651-7700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Woodside, NY
- NPI 1780453662
-
- Dental Clinic/Center
- Woodside, NY
- NPI 1508379546
-
- General Practice Dentistry
- Woodside, NY
- NPI 1205009826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1649484775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5903 ROOSEVELT AVE FL 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773546",
"telephone_number": "718-651-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5903 ROOSEVELT AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773546",
"telephone_number": "718-651-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECAREANU",
"first_name": "CRISTIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "A052507-01",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.