Organization Active NPI

Park Avenue Dentistry of Yonkers

Doing business as Park Avenue Smiles

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1659653467
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051666-1 Issued in NY
Legal business name
PARK AVENUE DENTISTRY OF YONKERS
Doing business as
Park Avenue Smiles
Practice address
169 Park Ave
Yonkers, NY 10703-2907
Phone
(914) 965-3864
Fax
(914) 965-7577
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. John Habib, DDSNPI 1427264746
Title
Partner
Phone
(914) 965-3864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 051666-1 NY Primary

Addresses

Primary practice location

169 Park Ave
Yonkers, NY 10703-2907

Mailing address

169 Park Ave
Yonkers, NY 10703-2907
Phone (914) 965-3864

Other names 1

  • Park Avenue Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

169 Park Ave
Yonkers, NY 10703
Phone (914) 965-3864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1659653467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032907",
            "telephone_number": "914-965-3864",
            "fax_number": "914-965-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032907",
            "telephone_number": "914-965-3864",
            "fax_number": "914-965-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE DENTISTRY OF YONKERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-965-3864",
        "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": "051666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.