Moses Datson

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

047288 Issued in NY

Practice address

2848 Church Ave
Brooklyn, NY 11226-4106

Phone

(718) 284-5500

Fax

(718) 284-5600

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madison Avenue Oral Surgery and Implant Center, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1700179124
  NPD Authorized official

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1679534580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HARTSHORN DR",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781916",
            "telephone_number": "718-284-5500",
            "fax_number": "718-284-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-284-5500",
            "fax_number": "718-284-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATSON",
        "first_name": "MOSES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "047288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02282231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rivky Daskalowitz
• Sandra Dasque
• Darshini Dass, RN
• Shadab Salam Dastagir, B.PHARM
• Preshita Date, MD
• Karan Datta, PT, DPT
• Mitu Rani Datta, PHARM.D.
• Mousumi Datta, NURSE
• Priyanka Datta, MD
• Laura Dattner, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.