NPIMap

Organization Active NPI

Joy Dental, PLLC

  • General Practice Dentistry
  • Astoria, NY
National Provider Identifier
1659626877
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054533 Issued in NY
Legal business name
JOY DENTAL, PLLC
Practice address
2537 Broadway
Astoria, NY 11106-3413
Phone
(718) 786-2631
Fax
(718) 956-8425
NPI assigned
Jul 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

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

Authorized official

Name
Dr. Ji Park, DDSNPI 1861624405
Title
Dentist
Phone
(718) 786-2631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 054533 NY Primary

Addresses

Primary practice location

2537 Broadway
Astoria, NY 11106-3413

Mailing address

2537 Broadway
Astoria, NY 11106-3413
Phone (718) 786-2631

Other identifiers 1

IdentifierTypeStateIssuer
03142927MedicaidNY

National Provider Directory

National Provider Directory

Locations

2537 Broadway
Astoria, NY 11106
Phone (718) 786-2631

Practitioners & affiliated clinicians

Practitioners 3

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": "1342224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342224000000",
    "number": "1659626877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063413",
            "telephone_number": "718-786-2631",
            "fax_number": "718-956-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063413",
            "telephone_number": "718-786-2631",
            "fax_number": "718-956-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-14",
        "last_updated": "2012-07-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-786-2631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03142927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; 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.