Central Park West Dental Studio,PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

053185-1 Issued in NY

Legal business name

CENTRAL PARK WEST DENTAL STUDIO,PLLC

Practice address

350 Central Park W Apt 1E
New York, NY 10025-8842

Phone

(212) 678-1144

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Genevieve Fernandes, B.D.S.,D.D.S.NPI 1609912898

Title

Dentist

Phone

(212) 678-1144

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genevieve Fernandes, B.D.S., D.D.S.

  • General Practice Dentistry
  • East Brunswick, NJ
  • NPI 1609912898
  NPD (past) Authorized official

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1679800262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK W APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258842",
            "telephone_number": "212-678-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK W APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258842",
            "telephone_number": "212-678-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK WEST DENTAL STUDIO,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-678-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S.,D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053185-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Park South Dental Corporation
• Central Park South Psychiatry
• Central Park West Al Chemists Inc
• Central Park West Care LLC
• Central Park West Chiropractic P. C.
• Central Park West Dentistrty, P.C.
• Central Park West Medical Group PC
• Central Park West Obs
• Central Park West Orthodontics PC
• Central Park West Physical Therapy PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.