Organization Active NPI

Rockefeller Dentistry PLLC

  • Periodontics
  • New York, NY
National Provider Identifier
1659770972
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
047153 Issued in NY
Legal business name
ROCKEFELLER DENTISTRY PLLC
Practice address
630 5TH Ave
Suite 1803
New York, NY 10111-0100
Phone
(212) 581-1091
Fax
(212) 581-0640
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Dr. Richard Nejat, DDSNPI 1356445050
Title
Doctor
Phone
(212) 581-1091

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 047153 NY Primary

Addresses

Primary practice location

630 5TH Ave
Suite 1803
New York, NY 10111-0100

Mailing address

630 5TH Ave
Suite 1803
New York, NY 10111-0100
Phone (212) 581-1091

National Provider Directory

National Provider Directory

Locations

630 5th Ave
Ste 1803
New York, NY 10111
Phone (212) 581-1090

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": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1659770972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "SUITE 1803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-581-1091",
            "fax_number": "212-581-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "SUITE 1803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-581-1091",
            "fax_number": "212-581-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKEFELLER DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "NEJAT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-581-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "047153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.