Interfaith Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

INTERFAITH DENTAL CENTER

Practice address

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Phone

(718) 613-4000

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

James Fitzgerald

Title

DDS

Phone

(516) 558-0700

Specialties & licenses 1

Addresses

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.

• Olesya Zrila, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1053922492
  NPD

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1659845378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 BRIGHTON 3RD ST APT 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "516-558-0700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interborough Developmental and Consultation Center
• Interborough Developmental and Consultation Center, Inc. (LSA Recovery)
• Interborough Developmental and Consultation Center, Inc. (IDCC Health Services)
• Interborough Developmental Consultation Ctr.
• Intercity Psychotherapy Services LCSW, P.C.
• Interfaith Emergency Medicine, P.C. (OBH Emergency Medicine Physicians)
• Interfaith Medical Center
• Interfaith Medical Center
• Interfaith Medical Center
• Interfaith Medical Center

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.