Organization Active NPI

Harbour View Dental Associates, PC

  • General Practice Dentistry
  • Mamaroneck, NY
National Provider Identifier
1679641401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049140 Issued in NY
Legal business name
HARBOUR VIEW DENTAL ASSOCIATES, PC
Practice address
133 Fenimore Rd
Mamaroneck, NY 10543-3502
Phone
(914) 381-0778
Fax
(914) 381-5678
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniela L Hijazin, DDS
Title
Owner
Phone
(914) 381-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 049140 NY Primary

Addresses

Primary practice location

133 Fenimore Rd
Mamaroneck, NY 10543-3502

Mailing address

133 Fenimore Rd
Mamaroneck, NY 10543-3502
Phone (914) 381-0778

National Provider Directory

National Provider Directory

Locations

133 Fenimore Rd
Mamaroneck, NY 10543
Phone (914) 381-0778

Practitioners & affiliated clinicians

Practitioners 1

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679641401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FENIMORE RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433502",
            "telephone_number": "914-381-0778",
            "fax_number": "914-381-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FENIMORE RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433502",
            "telephone_number": "914-381-0778",
            "fax_number": "914-381-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR VIEW DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIJAZIN",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-381-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.